ENDOSCOPIC APPROACH ENDONASAL GUIDED BY NEURONAVIGATION IN PITUITARY TUMORS: NEW NEUROSURGICAL TECHNIQUE AT HOSPITAL ALCIVAR - GUAYAQUIL

Abstract

The objective of this article is to present this new experience at Hospital Alcívar-Guayaquil in the treatment of lesions in the sellar region through the endonasal endoscopic approach (using the endoscope and its respective optical tower). Traditionally, the microsurgical technique (use of the microscope) has been used at the Alcívar Hospital. The different phases of the procedure are exposed. (11) Consequently, the clinical and surgical results are presented. The endonasal endoscopic approach to the sellar region is a new option that has come to stay due to its optical advantages that allow a better performance of the neurosurgeon in the different phases of the approach in different pathologies of the sellar region, predominantly, although it is increasingly being used in areas adjacent (anterior cranial base, clivus and others (7, 8, 9), which implies that it is a versatile and useful technique that has been demonstrated by its results.
We present the first two cases operated on at Hospital Alcívar with an endonasal endoscopic approach to the sellar region with results of pathological anatomy of
pituitary adenomas