Endoscopic endonasal anterior extended transsphenoidal approach in craniopharyngioma surgery

Kalinin P.L.; Fomichev D.V.; Kutin M.A.; Kadashev B.A.; Astaf'eva L.I.; Kurnosov A.B.; Popugaev K.A.; Fomochkina L.A.; Tropinskaia O.F.

doi:https://doi.org/

Kalinin P.L.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Fomichev D.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Kutin M.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Kadashev B.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Astaf'eva L.I.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Kurnosov A.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Popugaev K.A.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow, Russia

ORCID: 0000-0002-6240-820X

Fomochkina L.A.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Tropinskaia O.F.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Endoscopic endonasal anterior extended transsphenoidal approach in craniopharyngioma surgery

Authors:

Kalinin P.L., Fomichev D.V., Kutin M.A., Kadashev B.A., Astaf'eva L.I., Kurnosov A.B., Popugaev K.A., Fomochkina L.A., Tropinskaia O.F.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2013;77(3): 13‑20

Read: 2679 times

To cite this article:

Kalinin PL, Fomichev DV, Kutin MA, et al. . Endoscopic endonasal anterior extended transsphenoidal approach in craniopharyngioma surgery. Burdenko's Journal of Neurosurgery. 2013;77(3):13‑20. (In Russ., In Engl.)

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

HARDI-CSD tractography in determining the structure of diencephalic pathways in craniopharyngiomas. Burdenko's Journal of Neurosurgery. 2025;(1):30-36

Pituitary adenoma combined with craniopharyngioma. Case reports and literature review. Burdenko's Journal of Neurosurgery. 2025;(3):68-74

Sellar collision tumors: difficulties of preoperative neuroimaging and selection of surgical approach. Case reports and literature review. Burdenko's Journal of Neurosurgery. 2025;(3):75-82

Abstract:

The paper describes results of treatment of 56 patients with suprasellar craniopharyngioma (stem, intra-extraventricular) who were operated in Burdenko Neurosurgical Institute using endoscopic endonasal anterior extended transsphenoidal approach. Assessed dynamics of major clinical syndromes (neuro-ophthalmological symptoms, neurological and hormonal status), radicality of surgery, incidence and nature of postoperative complications, postoperative mortality. A comparative analysis of the results obtained in previous studies of our Institute, as well as with those of foreign authors is performed. Obtained data show that endoscopic endonasal anterior extended transsphenoidal approach in craniopharyngioma surgery is an efficient and non-traumatic technique, capable of providing a radical removal of the tumor along with a high quality of life after surgery, and relatively low rates of postoperative complications and mortality.

Keywords:

craniopharyngioma

endoscopic endonasal extended transsphenoidal approaches

Authors:

Kalinin P.L.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Fomichev D.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Kutin M.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Kadashev B.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Astaf'eva L.I.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Kurnosov A.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Popugaev K.A.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow, Russia

ORCID: 0000-0002-6240-820X

Fomochkina L.A.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Tropinskaia O.F.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Close metadata

References:

Kalinin P.L. Endoscopic Transsphenoidal Surgery of Pituitary Adenomas and Other Parasellar Tumors: Doctor of Medicine Thesis. Moscow, 2009.
Mazerkina N.A., Konovalov A.N., Gorelyshev S.K., et al. Endocrine Disorders in Children with Craniopharyngioma: Dependence on Tumor Localization. Vopr Neurohir 2008; 1: 23–29.
Matveyev V.I. Analysis of Short-Time and Long-Time Outcomes of Craniopharyngioma Surgical Treatment in Adult Patients: Candidate of Medicine Thesis. Moscow, 1992.
Semenova Zh.B. Craniopharyngioma histobiology and details of the disease course: Doctor of Medicine Thesis. Moscow, 2000.
Kalinin P.L., Fomichev D.V., Kutin M.A., et al. Extended Endoscopic Endonasal Transsphenoidal Approaches in Skull Base Surgery. Vopr Neurohir 2008; 4: 47–49.
Kutin M.A., Kalinin P.L., Fomichev D.V., et al. Experience in Application of autotissues with the Preserved Blood Supply for the Plastic Surgery of Skull Base Defects Following the Endoscopic Transsphenoidal Interventions. Vopr Neurohir 2012; 2: 42—50.
Alfieri A. Endoscopic endonasal transsphenoidal approach to the sellar region: Technical evolution of the methodology and refinement of a dedicated instrumentation. J Neurosurg Sci 1999; 43: 85—92.
Cappabianca P., Frank G., Pasquini E. et al. Extended endoscopic endonasal transsphenoidal approaches to the suprasellar region, planum sphenoidale and clivus. In: Endoscopic Endonasal Transsphenoidal Surgery. Eds. E. de Divitiis, P. Cappabianca. Wien: Springer-Verlag 2003; 176—187.
Cavallo L., de Divitiis O., Aydin S. et al. Extended endoscopic endonasal transsphenoidal approach to the suprasellar area: anatomic considerations — part 1. Neurosurgery 2007; 61: 24—34.
Couldwell W., Weiss M., Rabb C. et al. Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases. Neurosurgery 2004; 55: 539—550.
Dehdashti A., Ganna A., Witterick I. et al. Expanded endoscopic endonasal approach for anterior cranial base and suprasellar lesions: indications and limitations. Neurosurgery 2009; 64: 677—689.
de Divitiis E., Cavallo L.M., Cappabianca P. et al. Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: part 2. Neurosurgery 2007; 60: 46—59.
de Divitiis E., Cappabianca P., Cavallo L.M. et al. Extended endoscopic transsphenoidal approach for extrasellar craniopharyngiomas. Neurosurgery 2007; 61: Suppl 2: 219—228.
Dusick J.R., Esposito F., Kelly D.F. et al. The extended direct endonasal transsphenoidal approach for nonadenomatous suprasellar tumors. J Neurosurg 2005; 102: 832—841.
Van Effenterre R., Boch A.L. et al. Craniopharyngioma in adults and children: a study of 122 surgical cases. J Neurosurg 2002; 97: 3—11.
Fahlbusch R., Honegger J., Paulus W. et al. Surgical treatment of craniopharyngiomas: Experience with 168 patients. J Neurosurg 1999; 90: 237—250.
Frank G., Pasquini E., Doglietto F. et al. The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 2006; 59: 1: Suppl. 1: 75—83.
Gardner P., Kassam A., Snyderman C. et al. Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series. J Neurosurg 2008; 109: 6—16.
Honegger J., Buchfelder M., Fahlbusch R. et al. Transsphenoidal microsurgery for craniopharyngioma. Surg Neurol 1992; 37: 189—196.
Jho H.D. Endoscopic endonasal skull base surgery for midline lesions from olfactory groove to distal clivus.The 67th Annual Meeting of the American Association of Neurological Surgeons (April 24—29, 1999). New Orleans (Louisiana) 1999.
Kassam A.B., Snyderman C.H., Mintz A. et al. Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 2005; 19: 1: E3.
Kassam A., Prevedello D., Carrau R. et al. Endoscopic endonasal skull base surgery: analysis of complications in the authors’ initial 800 patients. J Neurosurg 2011; 114: 1544—1568.
Кitano M., Taneda M. Extended transsphenoidal approach with submucosal posterior ethmoidectomy for parasellar tumors. Technical note. J Neurosurg 2001; 94: 999—1004.
Laws E.R.Jr., Kanter A.S., Jane J.A.Jr. et al. Extended transsphenoidal approach. J Neurosurg 2005; 102: 825—827.
Leng L., Greenfield J., Souweidane M. et al. Endoscopic, endonasal resection of craniopharyngiomas: analysis of outcome including extent of resection, cerebrospinal fluid leak, return to preoperative productivity, and body mass index. Neurosurgery 2012; 70: 110—124.
Mortini P., Losa M., Pozzobon G. et al. Neurosurgical treatment of craniopharyngioma in adults and children: early and long-term results in a large case series: Clinical article. J Neurosurgery 2011; 114: 5: 1350—1359.
Weiss M.H. Transnasal transsphenoidal approach. In: Surgery of the Third Ventricle. Ed. M.L.J. Apuzzo. Baltimore: Williams & Wilkins 1987; 476—494.