New endoscope shaft for endoscopic transsphenoidal pituitary surgery.

Abstract:

OBJECTIVE:To describe a new endoscope shaft developed for suction-aspiration during endoscopic transsphenoidal pituitary surgery. METHODS:A custom-made shaft for a Wolf endoscope (Richard Wolf GmbH, Knittlingen, Germany) was developed with a height of 10 mm and a width of 5 mm, allowing an additional working channel for the endoscope for flexible suction tubes with a diameter of up to 10-French. RESULTS:The new shaft was used in 30 consecutive endoscopic transsphenoidal procedures for pituitary adenomas. It allowed true bimanual manipulation without having to fixate the endoscope. Tumor removal was facilitated, technical problems were not encountered, and operation time was reduced. There were no instrumentation-related complications. CONCLUSION:The new shaft improves the ergonomics of endoscopic transsphenoidal pituitary surgery in cases in which the endoscope is handheld.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

van Lindert EJ,Grotenhuis JA

doi

10.1227/01.neu.0000163681.28487.2f

keywords:

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

203-6; discussion 203-6

issue

1 Suppl

eissn

0148-396X

issn

1524-4040

journal_volume

57

pub_type

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