ورم الغدة النخامية

What is Endoscopic Transsphenoidal Surgery?

Through the nose and sphenoid sinus, neurosurgeons and ENT surgeons together remove pituitary tumors with no external incision. The endoscope provides panoramic visualization superior to traditional microscopic approach.

Why China?

• High volume: Huashan Hospital and PUMC perform 500+ pituitary surgeries/year each
• Cost: $9,500-$15,500 vs. $40,000-$80,000 in the US
• Expanded approaches: Skull base extensions for craniopharyngiomas, chordomas at top centers
• Multidisciplinary care: Neurosurgery + ENT + endocrinology + radiation oncology integration

Who is a candidate?

• Pituitary adenoma (functional or non-functional)
• Craniopharyngioma
• Rathke cleft cyst
• Suprasellar meningioma (select cases)
• Failure of medical therapy or rapid growth

Outcomes

Gross total resection: 70-90% (microadenoma), 50-70% (macroadenoma). Endocrine remission for functional adenomas: 80-90% Cushing's, 70-80% acromegaly. CSF leak: 3-5%. Major complications: <5%.