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[Endoscopic Combined Transcranial and Endonasal Approach].

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No shinkei geka. Neurological surgery 📖 저널 OA 0% 2026 Vol.54(2) p. 448-456
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Watanabe T

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Surgical treatment for massive lobulated lesions arising in the sella turcica carries various risks of complications and requires careful surgical planning.

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APA Watanabe T (2026). [Endoscopic Combined Transcranial and Endonasal Approach].. No shinkei geka. Neurological surgery, 54(2), 448-456. https://doi.org/10.11477/mf.030126030540020448
MLA Watanabe T. "[Endoscopic Combined Transcranial and Endonasal Approach].." No shinkei geka. Neurological surgery, vol. 54, no. 2, 2026, pp. 448-456.
PMID 42036867

Abstract

Surgical treatment for massive lobulated lesions arising in the sella turcica carries various risks of complications and requires careful surgical planning. In particular, for giant pituitary neuroendocrine tumors, bleeding from residual tumor tissue poses a significant clinical challenge. We describe a combined approach using endoscopic keyhole surgery and trans nasal surgery for cases in which resection through a single corridor is difficult, such as tumors extending laterally beyond the internal carotid artery or those extensively invading the brain parenchyma or ventricles. We explain the technique, its practical application, and its variations.

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