Endoscopic Pituitary Surgery

Endocrine, Neuro-Ophthalmologic, and Surgical Management
1. Auflage 2011
ISBN: 978-1-60406-347-9
Verlag: Thieme Publishers New York

Buch, Englisch, 384 Seiten, Hardback (Thread Stitching), Format (B × H): 220 mm x 287 mm, Gewicht: 1400 g

Autopsy reports and radiologic and MRI evidence from around the globe indicate that one out of every five people worldwide has a pituitary tumor, although many of the tumors do not cause symptoms and the condition is never diagnosed during the person's lifetime. About 15% of tumors in the skull are pituitary tumors; most are located in the anterior pituitary lobe and are usually noncancerous.

All neurosurgery residents are trained in pituitary surgery; this is a bread & butter surgical area for them. Over the last decade techniques in pituitary surgery have rapidly evolved as the entire surgical field has sought out minimally invasive procedures whenever possible. As a result, endoscopic procedures have become the preferred approach in pituitary surgery.
The proposed book aims to be THE go-to, comprehensive and current guide on pituitary surgery, finding audiences with both neurosurgeons and otolaryngologists who perform these procedures. However, this book will not only contain the state-of-the-art technical aspects of endoscopic pituitary surgery, but will also tap the knowledge base of the masters in this specialty who will reveal their time-tested decision-making processes for determining which patients are candidates for pituitary surgery, endoscopic versus open (craniotomy), and which would be better served with alternative treatments such as medication.

Zielgruppe

Ärzte

Autoren/Hrsg.

Schwartz, Theodore H

Anand, Vijay K

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin HNO-Heilkunde, Phoniatrie, Audiologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Bildgebende Verfahren, Nuklearmedizin, Strahlentherapie Endoskopie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Neurochirurgie

Inhaltsverzeichnis

1 History of Pituitary Surgery

2 Anatomy of the Pituitary Gland and Parasellar Region

3 Endoscopic Equipment

4 Preoperative Endocrine Evaluation

5 Radiographic Evaluation of Pituitary Tumors

6 Indications for Surgery on Pituitary Tumors: An Endocrinologist's Perspective

7 Indications for Surgery on Pituitary Tumors: A Neurosurgeon's Perspective

8 Histology of Pituitary Tumors

9 Prolactinomas

10 Acromegaly

11 Cushing's Disease

12 Thyroid-Stimulating Hormone Tumors

13 Clinical Management of Nonfunctioning Pituitary Adenomas

14 Neuro-Ophthalmologic Considerations

15 Endoscopic Transsphenoidal Approach to the Sella

16 Clinical Pearls in Endoscopic Pituitary Surgery: A Neurosurgeon's Perspective

17 Clinical Pearls in Endoscopic Pituitary Surgery: An Otolaryngologist's Perspective

18 Virtual Endoscopy in Endoscopic Pituitary Surgery

19 3D Stereoendoscopic Pituitary Surgery

20 Endoscope-Assisted Transsphenoidal Surgery

21 Endoscopic Pituitary Surgery in the Cavernous Sinus

22 Microscopic versus Endoscopic Transsphenoidal Pituitary Surgery

23 Microscopic and Endoscopic Transsphenoidal Pituitary Surgery: A Reasoned and Balanced Dialectic

24 Extended Endonasal, Endoscopic Transsphenoidal Approach versus Craniotomy for Giant Pituitary Macroadenomas

25 Stereotactic Radiosurgery and Fractionated Radiation for Pituitary Tumors

26 Atypical Adenoma, Pituitary Carcinoma, and the Role of Chemotherapy in the Management of Refractory Pituitary Adenoma

27 The Utility of Intaoperative MRI in Pituitary Surgery

28 Limited Utility of Intraoperative MRI in Endoscopic Pituitary Surgery

29 The Role of Stereotactic Navigation in Endoscopic Pituitary Surgery

30 Anesthesea Considerations

31 Managing Postoperative Sinusitis

32 Managing Carotid Injury During Transsphenoidal Surgery

33 Managing Postoperative CSF Leak

34 Postoperative and Neurocritical Care Management of Patients after Endonasal Endoscopic Transsphenoidal Pituitary Surgery