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Dixit, et al.:Initial experience of endoscopic endonasal transsphenoidal approach 54 Asian Journal of Medical Sciences | Jan-Feb 2019 | Vol 10 | Issue 1 Gerard Guiot (1960s) first time introduced Endoscope to transsphenoidal surgery mainly as a microscopeassisted tool to explore the sella cavity for residual tumor. Jankowski (1992) proposed a fully endoscopic approach to pituitary surgery.5 The endoscope-guided transsphenoidal surgery was standardized in clinical practice by Jho and Carrau (1997) 6 and Cappabianca et al.,7 introducing enhanced illumination and visualization of the lesions. Over more than 2 decades of this technique, most of the neurosurgeons have smooth transition to endoscopy but switching on to endoscopy from open microscopic surgery has been associated with learning curve and experience in endoscopic anatomy. Endoscopic Endonasal Transphenoidal Pituitary Surgery (EETS), has been proved to be a preferred alternative to conventional surgery because of its salient features like wider, more panoramic field of visualization, improved illumination and mobility of instruments, and an ability to look around anatomical corners using angled lens and minimal invasiveness but there is disadvantage of lacking the stereoscopic view obtainable with a microscope.8 Problems of instrument maneuverability during procedures have largely been alleviated with the development of newer endoscope-specific instrumentation and the evolution of endoscopic techniques.9,10 There is superiority of the binarial endoscopic approach in achieving target surgical freedom and sagittal angular freedom.11 High definition 3D endoscopic system may resolve the stereoscopic visualization issue.12 The current study was done to analyze the effectiveness and morbidity in the patients operated in our centre by Endoscopic Endonasal Transsphenoidal Pituitary Surgery (EETS) done by single team in single centre in 15 months.

asian journal of medical sciences

A study assessing the outcome of endoscopic endonasal transsphenoidal excision of pituitary adenoma at a tertiary care institutions- An Initial experience of 30 cases