Abstract
The minimally invasive endoscopic pituitary surgery is performed through the natural nasal pathway without any incisions unlike the conventional microscopic surgery performed via Trans-nasal Trans-sphenoidal upproach. We have tried to compare the clinical implications of these two approaches. In our study, conducted from 1995 to 2004, we started operating pituitary adenomas with conventional Trans nasal Trans-sphenoidal microscopic approach and later used the endoscopic assisted approach and then endoscopic. Close and long period of follow up was maintained. In our experience of 9 years, adopting the endoscope not only eliminates the need for nasal packing, but also heightens the surgeons' visualization of pituitary tumors, thus no external incision, no nasal packing and overnight stay with no complications.
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