Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma

Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma

Although there are various operative approaches for clival tumors, a transsphenoidal approach is one of choices when the main tumor extention is in an anterior-posterior direction with a slight lateral extension. However, this approach sometimes provides only narrow and deep operative field. Recentl...

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Main Authors: Atsushi Kuge, Shinya Sato, Kaori Sakurada, Sunao Takemura, Zensho Kikuchi, Yuki Saito, Takamasa Kayama
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Sarcoma
Online Access:http://dx.doi.org/10.1155/2011/953047
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spelling doaj-ae19538ca9914091a4196c9227d43d642020-11-25T00:38:24ZengHindawi LimitedSarcoma1357-714X1369-16432011-01-01201110.1155/2011/953047953047Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival ChondrosarcomaAtsushi Kuge0Shinya Sato1Kaori Sakurada2Sunao Takemura3Zensho Kikuchi4Yuki Saito5Takamasa Kayama6Department of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanDepartment of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanDepartment of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanDepartment of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanDepartment of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanDepartment of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanDepartment of Neurosurgery, Yamagata University Faculty of Medicine, 2-2-2 Iidanishi, Yamagata 990-9585, JapanAlthough there are various operative approaches for clival tumors, a transsphenoidal approach is one of choices when the main tumor extention is in an anterior-posterior direction with a slight lateral extension. However, this approach sometimes provides only narrow and deep operative field. Recently, endoscopic transnasal transsphenoidal approach is quite an effective approach for clival tumors because of the improvement of surgical instruments, image guidance systems, and techniques and materials of wound closure. In this paper, we describe the effectiveness, technical problems, and solution of this approach based on our experiences with two clival chondrosarcomas that was removed by endoscopic transnasal transsphenoidal approach.http://dx.doi.org/10.1155/2011/953047
collection DOAJ
language English
format Article
sources DOAJ
author Atsushi Kuge
Shinya Sato
Kaori Sakurada
Sunao Takemura
Zensho Kikuchi
Yuki Saito
Takamasa Kayama
spellingShingle Atsushi Kuge
Shinya Sato
Kaori Sakurada
Sunao Takemura
Zensho Kikuchi
Yuki Saito
Takamasa Kayama
Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma
Sarcoma
author_facet Atsushi Kuge
Shinya Sato
Kaori Sakurada
Sunao Takemura
Zensho Kikuchi
Yuki Saito
Takamasa Kayama
author_sort Atsushi Kuge
title Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma
title_short Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma
title_full Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma
title_fullStr Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma
title_full_unstemmed Technical Notes on Endoscopic Transnasal Transsphenoidal Approach for Clival Chondrosarcoma
title_sort technical notes on endoscopic transnasal transsphenoidal approach for clival chondrosarcoma
publisher Hindawi Limited
series Sarcoma
issn 1357-714X
1369-1643
publishDate 2011-01-01
description Although there are various operative approaches for clival tumors, a transsphenoidal approach is one of choices when the main tumor extention is in an anterior-posterior direction with a slight lateral extension. However, this approach sometimes provides only narrow and deep operative field. Recently, endoscopic transnasal transsphenoidal approach is quite an effective approach for clival tumors because of the improvement of surgical instruments, image guidance systems, and techniques and materials of wound closure. In this paper, we describe the effectiveness, technical problems, and solution of this approach based on our experiences with two clival chondrosarcomas that was removed by endoscopic transnasal transsphenoidal approach.
url http://dx.doi.org/10.1155/2011/953047
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