Abstract：
:The endoscope has become an essential tool for transsphenoidal pituitary surgeries because of the panoramic view and the ability to visualize structures beyond the direct line of vision. However, the regular dedicated instruments for these surgeries sometimes do not reach the areas visualized by an angled endoscope, and instrument maneuverability is limited. To overcome or minimize these problems, we constructed a new flexible tumor forceps that can be manipulated to change shape after placing into the surgical fields via the endonasal or sublabial route, to reach any desirable location for tumor dissection and excision. We applied this newly developed instrument in endonasal endoscopic resection complementing microsurgical procedure in 20 cases of pituitary tumors. The flexible forceps was able to access sites where regular dedicated instruments for transsphenoidal pituitary surgeries could not readily reach despite endoscopic visualization. No complication was observed in the present series, confirming the safety of the newly designed flexible forceps. Our newly developed flexible forceps improves the instrument maneuverability of endoscopic transsphenoidal resection of pituitary tumors, especially those located laterally at the cavernous sinuses or with frontal extension. The use of this instrument makes the best use of endoscopic panoramic visualization for tumor removal.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Kawamata T,Amano K,Hori Tdoi
10.1007/s10143-007-0108-2subject
Has Abstractpub_date
2008-01-01 00:00:00pages
65-8; discussion 68issue
1eissn
0344-5607issn
1437-2320journal_volume
31pub_type
杂志文章abstract：:Rare tumors with anecdotal reportage, oculomotor schwannomas are most often seen in the oculomotor cistern close to the anterior clinoidal region. Adding to the small series of reported cases of this unusual lesion, we report two male patients in their second decade who presented with different degrees of oculomotor p...
journal_title：Neurosurgical review
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doi：10.1007/s10143-011-0344-3
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abstract：:In a study the results recorded in 34 surgically treated patients with specific or unspecific spondylodiscitis after dorsoventral one-stage instrumentation with CDI and anterior grafting (group 1) were compared with those obtained in a group of 38 patients treated with anterior CDH instrumentation in combination with ...
journal_title：Neurosurgical review
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journal_title：Neurosurgical review
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pub_type： 临床试验,杂志文章
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pub_type： 杂志文章,评审
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journal_title：Neurosurgical review
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doi：10.1007/BF00313514
更新日期：1992-01-01 00:00:00
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journal_title：Neurosurgical review
pub_type： 杂志文章
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journal_title：Neurosurgical review
pub_type： 杂志文章,meta分析,评审
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pub_type： 杂志文章,评审
doi：10.1007/BF00383655
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