Three-Dimensional Hand-to-Gland Combat: The Future of Endoscopic Surgery?

Abstract

Objective To compare two dimensional (2D), three-dimensional (3D) non–high-definition (HD), and 3D HD endoscopic surgical techniques.

Methods We describe our initial operative experience with a novel 3D HD endoscopic endonasal approach involving a pituitary adenoma resection, provide a case series, and review the current literature. This is the first case in Europe using the new 3D HD endoscope.

Results Although research evidence remains limited, there are no significant negative perioperative or postoperative outcomes when compared with 2D endoscopic techniques. In our experience the narrow operating corridors of endoscopic surgery cannot be addressed with 3D endoscopic techniques. The new 3D HD endoscope creates imaging quality similar to conventional 2D HD systems.

Conclusion Three-dimensional endoscopic endonasal techniques provide an exciting new avenue, effectively addressing potential depth perception difficulties with current 2D systems.

Keywords

surgery - pituitary - three-dimensional - transsphenoidal - endoscope

Notes

Full informed consent was obtained from all patients prior to data collection. All patient data was anonymized before to data analysis.

• References

• 1 Pollock JR, Akinwunmi J, Scaravilli F, Powell MP. Transcranial surgery for pituitary tumors performed by Sir Victor Horsley. Neurosurgery 2003; 52 (4) 914-925 ; discussion 925–926
• 2 Caton R. Notes of a case of acromegaly treated by operation. BMJ 1893; 2 (1722) 1421-1423
• 3 Schloffer H. On the problem of surgery on the pituitary gland. Beitr Klin Chir 1906; 50: 767-817
• 4 Lee SC, Senior BA. Endoscopic skull base surgery. Clin Exp Otorhinolaryngol 2008; 1 (2) 53-62
• 5 Behari S, Tyagi I, Banerji D , et al. Postauricular, transpetrous, presigmoid approach for extensive skull base tumors in the petroclival region: the successes and the travails. Acta Neurochir (Wien) 2010; 152 (10) 1633-1645
• 6 Kusumi M, Fukushima T, Mehta AI , et al. Tentorial detachment technique in the combined petrosal approach for petroclival meningiomas. J Neurosurg 2012; 116 (3) 566-573
• 7 Shi W, Shi JL, Xu QW, Che XM, Ju SQ, Chen J. Temporal base intradural transpetrosal approach to the petoclival region: an appraisal of anatomy, operative technique and clinical experience. Br J Neurosurg 2011; 25 (6) 714-722
• 8 Mathiesen T, Gerlich A, Kihlström L, Svensson M, Bagger-Sjöbäck D. Effects of using combined transpetrosal surgical approaches to treat petroclival meningiomas. Neurosurgery 2008; 62 (6) (Suppl. 03) 1213-1223
• 9 Sekhar LN, Tariq F, Ferreira M. What is the best approach to resect an anterior midline skull base meningioma in 2011? Microsurgical transcranial, endonasal endoscopic, or minimal access cranial?. World Neurosurg 2012; 77 (5–6) 621-622
• 10 Gardner PA, Kassam AB, Thomas A , et al. Endoscopic endonasal resection of anterior cranial base meningiomas. Neurosurgery 2008; 63 (1) 36-52 ; discussion 52–54
• 11 Oostra A, van Furth W, Georgalas C. Extended endoscopic endonasal skull base surgery: from the sella to the anterior and posterior cranial fossa. ANZ J Surg 2012; 82 (3) 122-130
• 12 Snyderman CH, Pant H, Carrau RL, Prevedello D, Gardner P, Kassam AB. What are the limits of endoscopic sinus surgery?: the expanded endonasal approach to the skull base. Keio J Med 2009; 58 (3) 152-160
• 13 Castelnuovo P, Battaglia P, Bignami M , et al. Endoscopic transnasal resection of anterior skull base malignancy with a novel 3D endoscope and neuronavigation. Acta Otorhinolaryngol Ital 2012; 32 (3) 189-191
• 14 Eboli P, Shafa B, Mayberg M. Intraoperative computed tomography registration and electromagnetic neuronavigation for transsphenoidal pituitary surgery: accuracy and time effectiveness. J Neurosurg 2011; 114 (2) 329-335
• 15 Fraser JF, Allen B, Anand VK, Schwartz TH. Three-dimensional neurostereoendoscopy: subjective and objective comparison to 2D. Minim Invasive Neurosurg 2009; 52 (1) 25-31
• 16 Way LW, Stewart L, Gantert W , et al. Causes and prevention of bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 2003; 237 (4) 460-469
• 17 Waran V, Menon R, Pancharatnam D , et al. The creation and verification of cranial models using three-dimensional rapid prototyping technology in field of transnasal sphenoid endoscopy. Am J Rhinol Allergy 2012; 26 (5) e132-e136
• 18 Roth J, Singh A, Nyquist G , et al. Three-dimensional and 2-dimensional endoscopic exposure of midline cranial base targets using expanded endonasal and transcranial approaches. Neurosurgery 2009; 65 (6) 1116-1128 ; discussion 1128–1130
• 19 Tabaee A, Anand VK, Fraser JF, Brown SM, Singh A, Schwartz TH. Three-dimensional endoscopic pituitary surgery. Neurosurgery 2009; 64 (5) (Suppl. 02) 288-293 ; discussion 294–295
• 20 Brown SM, Tabaee A, Singh A, Schwartz TH, Anand VK. Three-dimensional endoscopic sinus surgery: feasibility and technical aspects. Otolaryngol Head Neck Surg 2008; 138 (3) 400-402
• 21 Kari E, Oyesiku NM, Dadashev V, Wise SK. Comparison of traditional 2-dimensional endoscopic pituitary surgery with new 3-dimensional endoscopic technology: intraoperative and early postoperative factors. Int Forum Allergy Rhinol 2012; 2 (1) 2-8