Endoscopic surgery for pituitary macroadenomas has been shown to be very efficacious for maximal tumor resection. In this video, Dr. Daniel Kelly, Director of the Providence Saint John's Health Center Pacific Disorders Center demonstrates the technique of endonasal endoscopic removal of a pituitary macrodenoma. Over the last decade, this technique has become the preferred method for removal of the great majority of pituitary adenomas and has been shown to be associated with very high degrees of tumor resection and gland preservation. Non-functional (non-secreting) pituitary macroadenomas, typically cause vision loss (typically peripheral vision), pituitary dysfunction and headaches. The methods of tumor resection, pituitary gland preservation, skull base closure and CSF leak repair are shown. At the Pacific Pituitary Disorders Center, we have one of the world's largest experiences in endonasal endoscopic surgery and comprehensive care for patients with pituitary adenomas and related skull base tumors. |