Endonasal surgery for pituitary adenomas: surgical technique, intraoperative and postoperative complications
https://doi.org/10.63769/1683-3295-2025-27-3-152-161
Abstract
The review provides basic data concerning the anatomical aspects of surgical treatment of pituitary adenomas with maximum preservation of intact gland tissue. Neurosurgeons mainly use endoscopic transnasal access, which provides a wider field of view, high magnification and angular visualization, which gives it an advantage over microscopic access, which has not been used much lately. Only a detailed knowledge of the anatomy and topographic-anatomical relationships of the structures of this area makes it easy to navigate during surgery and plan less invasive interventions. In addition, data on complications in the postoperative period are presented, which are mainly represented by liquorrhea, water-electrolyte disorders, and information on methods of their prevention is analyzed.
About the Authors
A. N. Skarubo
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047
V. N. Nikolenko
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); Lomonosov Moscow State University
Russian Federation
Russian Federation
Bld. 1, 8 Trubetskaya St., Moscow 119991; 1 Leninskiye Gory, Moscow 119991
B. A. Volel
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
Bld. 1, 8 Trubetskaya St., Moscow 119991
Yu. O. Zharikov
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Russian Federation
Bld. 1, 8 Trubetskaya St., Moscow 119991
A. A. Ivanchenko
Russian Сenter of Neurology and Neurosciences
Russian Federation
Russian Federation
80 Volokolamskoye Shosse, Moscow 125367
T. S. Zharikova
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); Lomonosov Moscow State University
Russian Federation
Russian Federation
Tatiana S. Zharikova.
Bld. 1, 8 Trubetskaya St., Moscow 119991; 1 Leninskiye Gory, Moscow 119991
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Review
For citations:
Skarubo A.N., Nikolenko V.N., Volel B.A., Zharikov Yu.O., Ivanchenko A.A., Zharikova T.S. Endonasal surgery for pituitary adenomas: surgical technique, intraoperative and postoperative complications. Russian journal of neurosurgery. 2025;27(3):152-161. (In Russ.) https://doi.org/10.63769/1683-3295-2025-27-3-152-161
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