Principles of Pseudo-Capsular Dissection for Endoscopic Endonasal Removal of Pituitary Macroadenoma and Preserving the Gland Continuity
Abstract
The technical nuances of a pseudocapsular technique for resection of a large pituitary macroadenoma are discussed. The goal was to preserve the continuity of the gland while achieving maximal resection. Angled curettes and suction were used in the inferior aspect of the tumor to first demarcate the gland-tumor interface. Using sharp dissection for adherent part of the interface, the plane was advanced from posterior to superior aspect to finally free the tumor from the diaphragm. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Pituitary Gland Disorders and Treatments
Head and Neck Surgical Oncology
Neuroendocrine Tumor Research Advances
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN