{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T02:53:25Z","timestamp":1781492005179,"version":"3.54.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":48,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"the Jining Key Research and Development  Program","award":["No. 20230YXNS 135"],"award-info":[{"award-number":["No. 20230YXNS 135"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic endonasal transsphenoidal (EET) approach has been widely utilized for the treatment of pituitary adenoma. However, postoperative cerebrospinal fluid (CSF) leakage is still a concern. One of the key surgical points to prevent postoperative CSF leakage is how to reduce the defect of the sellar floor and increase its support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We presented a step-by-step description of the incision method of the sellar dura during endoscopic transsphenoidal pituitary adenoma resection, as well as the sellar dura mater diagonal suture technique to reduce postoperative sellar dura mater defects and increase the support of the sellar floor. These methods have been widely applied in our surgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These measures effectively increase the support of the sellar floor and reduce the risk of postoperative CSF leakage in cases of low cerebrospinal fluid leakage during surgery, and are easy to perform.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00701-026-06889-1","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:16:22Z","timestamp":1777414582000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The U-shaped incision and diagonal suturing of the sellar dura in endoscopic transsphenoidal pituitary adenoma resection"],"prefix":"10.1007","volume":"168","author":[{"given":"Yikun","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gengshi","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"issue":"2","key":"6889_CR1","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1016\/j.otc.2022.01.004","volume":"55","author":"C Anderson","year":"2022","unstructured":"Anderson C, Akbar N, Colley P (2022) Reconstruction of skull base defects in pituitary surgery. Otolaryngol Clin North Am 55(2):449\u2013458. https:\/\/doi.org\/10.1016\/j.otc.2022.01.004","journal-title":"Otolaryngol Clin North Am"},{"issue":"6","key":"6889_CR2","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3969\/j.issn.1672-3384.2023.06.002","volume":"21","author":"M-N Cao","year":"2023","unstructured":"Cao M-N, Wang Q-Y, Tao H, Zhou J-X et al (2023) Interpretation of evidence-based guideline for the prevention and management of perioperative infection. Clin Medication J 21(6):19\u201325. https:\/\/doi.org\/10.3969\/j.issn.1672-3384.2023.06.002","journal-title":"Clin Medication J"},{"issue":"3","key":"6889_CR3","doi-asserted-by":"publisher","first-page":"861","DOI":"10.3171\/2017.11.JNS172141","volume":"130","author":"A Conger","year":"2018","unstructured":"Conger A, Zhao F, Wang X et al (2018) Evolution of the graded repair of CSF leaks and skull base defects in endonasal endoscopic tumor surgery: trends in repair failure and meningitis rates in 509 patients. J Neurosurg 130(3):861\u2013875. https:\/\/doi.org\/10.3171\/2017.11.JNS172141","journal-title":"J Neurosurg"},{"issue":"03","key":"6889_CR4","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1055\/s-0035-1568871","volume":"77","author":"AR Dehdashti","year":"2016","unstructured":"Dehdashti AR, Stofko D, Okun J et al (2016) Endoscopic endonasal reconstruction of skull base: repair protocol. J Neurol Surg 77(03):271\u2013278. https:\/\/doi.org\/10.1055\/s-0035-1568871","journal-title":"J Neurol Surg"},{"issue":"1","key":"6889_CR5","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1227\/01.NEU.0000316852.01820.45","volume":"63","author":"PA Gardner","year":"2008","unstructured":"Gardner PA, Kassam AB, Thomas A et al (2008) Endoscopic endonasal resection of anterior cranial base meningiomas. Neurosurgery 63(1):36\u201352","journal-title":"Neurosurgery"},{"issue":"6","key":"6889_CR6","doi-asserted-by":"publisher","first-page":"1887","DOI":"10.1016\/j.wneu.2015.08.025","volume":"84","author":"T Hara","year":"2015","unstructured":"Hara T, Akutsu H, Yamamoto T et al (2015) Cranial base repair using suturing technique combined with a mucosal flap for cerebrospinal fluid leakage during endoscopic endonasal surgery. World Neurosurg 84(6):1887\u20131893. https:\/\/doi.org\/10.1016\/j.wneu.2015.08.025","journal-title":"World Neurosurg"},{"issue":"11","key":"6889_CR7","doi-asserted-by":"publisher","first-page":"1081","DOI":"10.3760\/cma.j.cn112050-20200707-00386","volume":"36","author":"T Hong","year":"2020","unstructured":"Hong T et al (2020) Consensus of technical experts on reconstruction of skull base during transnasal endoscopic surgery. Chinese Journal of Neurosurgery 36(11):1081\u20131087. https:\/\/doi.org\/10.3760\/cma.j.cn112050-20200707-00386","journal-title":"Chinese Journal of Neurosurgery"},{"issue":"6","key":"6889_CR8","doi-asserted-by":"publisher","first-page":"1326","DOI":"10.3171\/2014.2.JNS13767","volume":"120","author":"M Koutourousiou","year":"2014","unstructured":"Koutourousiou M, Fernandez-Miranda JC, Stefko ST (2014) Endoscopic endonasal surgery for suprasellar meningiomas: experience with 75 patients. J Neurosurg 120(6):1326\u20131339. https:\/\/doi.org\/10.3171\/2014.2.JNS13767","journal-title":"J Neurosurg"},{"issue":"6","key":"6889_CR9","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.3171\/jns.2001.95.6.1083","volume":"95","author":"JK Liu","year":"2001","unstructured":"Liu JK, Das K, Weiss MH et al (2001) The history and evolution of transsphenoidal surgery. J Neurosurg 95(6):1083\u20131096. https:\/\/doi.org\/10.3171\/jns.2001.95.6.1083","journal-title":"J Neurosurg"},{"issue":"6","key":"6889_CR10","doi-asserted-by":"publisher","DOI":"10.3171\/2020.3.FOCUS2064","volume":"48","author":"J-P Zeden","year":"2020","unstructured":"Zeden J-P, Baldauf J, Schroeder HW (2020) Repair of the sellar floor using bioresorbable polydioxanone foils after endoscopic endonasal pituitary surgery. Neurosurg Focus 48(6):E16. https:\/\/doi.org\/10.3171\/2020.3.FOCUS2064","journal-title":"Neurosurg Focus"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-026-06889-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06889-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06889-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T02:40:15Z","timestamp":1781491215000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-026-06889-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,28]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6889"],"URL":"https:\/\/doi.org\/10.1007\/s00701-026-06889-1","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,28]]},"assertion":[{"value":"28 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the ethics committee of The Afliated Hospital of Jining Medical University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All participants provided their written informed consent to participate in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Consent for publication was obtained from all participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The funders had no role in any aspect of the perioperative procedures; in the writing of the manuscript, or in the decision to publish the results.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}},{"value":"The authors declare no competing interests.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}],"article-number":"138"}}