{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T16:39:03Z","timestamp":1789231143942,"version":"build-2803163510"},"reference-count":39,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>Parasellar tumors that extend far laterally beyond the internal carotid artery or that are fibrous and adhere firmly to critical structures are difficult to remove totally via the endoscopic transsphenoidal approach alone. In such cases, a combined transsphenoidal-transcranial approach is effective to achieve maximal resection in a single stage. In this paper, a new minimally invasive surgical technique for complicated parasellar lesions, a fully endoscopic combined transsphenoidal\u2013supraorbital keyhole approach, is presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A retrospective review of patients who had been treated via a fully endoscopic combined transsphenoidal\u2013supraorbital keyhole approach for complicated parasellar lesions was performed. The data for resection rate, perioperative mortality and morbidity, and postoperative outcomes were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 12 fully endoscopic combined transsphenoidal\u2013supraorbital keyhole approaches were performed from March 2013 to February 2016; 10 were for pituitary adenomas and 2 were for craniopharyngiomas. Gross-total resection or near-total resection was achieved in 7 of 12 cases. Among the 11 patients who had presented with preoperative visual disturbances, 7 had visual improvement. However, 1 patient showed deterioration in visual function. No patient experienced postoperative hemorrhage, needed additional surgical treatment, or had postoperative CSF leakage.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>In the combined transsphenoidal and transcranial approach, safe and effective cooperative manipulation with 2 surgical corridors can be performed for complicated parasellar lesions. The goal of this procedure is not to achieve gross-total resection, but to achieve safe resection. Moreover, this new surgical approach offers neurosurgeons a simpler operative field with less invasiveness than the conventional microscopic combined approach. The fully endoscopic combined endonasal\u2013supraorbital keyhole approach is an efficacious procedure for complicated parasellar lesions with acceptable results.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2016.11.jns161833","type":"journal-article","created":{"date-parts":[[2017,4,28]],"date-time":"2017-04-28T13:59:36Z","timestamp":1493387976000},"page":"685-694","source":"Crossref","is-referenced-by-count":31,"title":["Fully endoscopic combined transsphenoidal and supraorbital keyhole approach for parasellar lesions"],"prefix":"10.3171","volume":"128","author":[{"given":"Yuichi","family":"Nagata","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine; and"},{"name":"Department of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadashi","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Nagatani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhito","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonsu","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiko","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns161833","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1016\/S0090-3019(02)00705-X","article-title":"Combined trans-sphenoidal and pterional craniotomy approach to giant pituitary tumors","volume":"57","author":"Alleyne CH Jr,","year":"2002","unstructured":"Alleyne CH Jr, Barrow DL, Oyesiku NM: Combined trans-sphenoidal and pterional craniotomy approach to giant pituitary tumors. Surg Neurol 57:380\u2013390, 200210.1016\/S0090-3019(02)00705-X"},{"key":"b2-jns161833","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"1949","DOI":"10.1007\/s00701-011-1089-z","article-title":"The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base","volume":"153","author":"Berhouma M,","year":"2011","unstructured":"Berhouma M, Jacquesson T, Jouanneau E: The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base. Acta Neurochir (Wien) 153:1949\u20131954, 201110.1007\/s00701-011-1089-z21818644"},{"key":"b3-jns161833","series-title":"Adv Tech Stand Neurosurg","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/978-3-211-72283-1_4","article-title":"Extended endoscopic endonasal approach to the midline skull base: the evolving role of trans-sphenoidal surgery","volume":"33","author":"Cappabianca P,","year":"2008","unstructured":"Cappabianca P, Cavallo LM, Esposito F, De Divitiis O, Messina A, De Divitiis E: Extended endoscopic endonasal approach to the midline skull base: the evolving role of trans-sphenoidal surgery. Adv Tech Stand Neurosurg 33:151\u2013199, 200810.1007\/978-3-211-72283-1_4"},{"key":"b4-jns161833","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"100","DOI":"10.3171\/2014.3.JNS131521","article-title":"The endoscopic endonasal approach for the management of craniopharyngiomas: a series of 103 patients","volume":"121","author":"Cavallo LM,","year":"2014","unstructured":"Cavallo LM, Frank G, Cappabianca P, Solari D, Mazzatenta D, Villa A, : The endoscopic endonasal approach for the management of craniopharyngiomas: a series of 103 patients. J Neurosurg 121:100\u2013113, 201410.3171\/2014.3.JNS13152124785324"},{"key":"b5-jns161833","series-title":"Pituitary","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1007\/s11102-009-0171-5","article-title":"Simultaneous above and below approach to giant pituitary adenomas: surgical strategies and long-term follow-up","volume":"12","author":"D'Ambrosio AL,","year":"2009","unstructured":"D'Ambrosio AL, Syed ON, Grobelny BT, Freda PU, Wardlaw S, Bruce JN: Simultaneous above and below approach to giant pituitary adenomas: surgical strategies and long-term follow-up. Pituitary 12:217\u2013225, 200910.1007\/s11102-009-0171-519242807"},{"issue":"6","key":"b6-jns161833","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/FOC.2008.25.12.E8","article-title":"Endoscopic transnasal resection of anterior cranial fossa meningiomas","volume":"25","author":"de Divitiis E,","year":"2008","unstructured":"de Divitiis E, Esposito F, Cappabianca P, Cavallo LM, de Divitiis O, Esposito I: Endoscopic transnasal resection of anterior cranial fossa meningiomas. Neurosurg Focus 25:6E8, 200810.3171\/FOC.2008.25.12.E8"},{"key":"b7-jns161833","series-title":"Clin Endocrinol (Oxf)","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1111\/j.1365-2265.2009.03665.x","article-title":"Endonasal transsphenoidal surgery and multimodality treatment for giant pituitary adenomas","volume":"72","author":"de Paiva Neto MA,","year":"2010","unstructured":"de Paiva Neto MA, Vandergrift A, Fatemi N, Gorgulho AA, Desalles AA, Cohan P, : Endonasal transsphenoidal surgery and multimodality treatment for giant pituitary adenomas. Clin Endocrinol (Oxf) 72:512\u2013519, 201010.1111\/j.1365-2265.2009.03665.x"},{"issue":"1 Suppl 1","key":"b8-jns161833","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"ONS75","DOI":"10.1016\/j.wneu.2014.07.029","article-title":"The endoscopic extended transsphenoidal approach for craniopharyngiomas","volume":"59","author":"Frank G,","year":"2006","unstructured":"Frank G, Pasquini E, Doglietto F, Mazzatenta D, Sciarretta V, Farneti G, : The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 59:1 Suppl 1ONS75\u2013ONS83, 200610.1016\/j.wneu.2014.07.029"},{"key":"b9-jns161833","series-title":"Surg Endosc","doi-asserted-by":"publisher","first-page":"5185","DOI":"10.1007\/s00464-016-4890-1","article-title":"Non-technical skills in minimally invasive surgery teams: a systematic review","volume":"30","author":"Gjeraa K,","year":"2016","unstructured":"Gjeraa K, Spanager L, Konge L, Petersen RH, \u00d8stergaard D: Non-technical skills in minimally invasive surgery teams: a systematic review. Surg Endosc 30:5185\u20135199, 201610.1007\/s00464-016-4890-127066972"},{"key":"b10-jns161833","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"e281","DOI":"10.1016\/j.wneu.2013.08.028","article-title":"Giant pituitary adenomas: surgical outcomes of 50 cases operated on by the endonasal endoscopic approach","volume":"82","author":"Gondim JA,","year":"2014","unstructured":"Gondim JA, Almeida JP, Albuquerque LA, Gomes EF, Schops M: Giant pituitary adenomas: surgical outcomes of 50 cases operated on by the endonasal endoscopic approach. World Neurosurg 82:e281\u2013e290, 201410.1016\/j.wneu.2013.08.028"},{"key":"b11-jns161833","series-title":"Minim Invasive Neurosurg","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1055\/s-0028-1082323","article-title":"Combined simultaneous endoscopic transsphenoidal and endoscopic transventricular resection of a giant pituitary macroadenoma","volume":"51","author":"Greenfield JP,","year":"2008","unstructured":"Greenfield JP, Leng LZ, Chaudhry U, Brown S, Anand VK, Souweidane MM, : Combined simultaneous endoscopic transsphenoidal and endoscopic transventricular resection of a giant pituitary macroadenoma. Minim Invasive Neurosurg 51:306\u2013309, 20081885529810.1055\/s-0028-1082323"},{"key":"b12-jns161833","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s00701-006-1044-6","article-title":"Objective criteria for successful transsphenoidal removal of suprasellar nonfunctioning pituitary adenomas. A prospective study","volume":"149","author":"Honegger J,","year":"2007","unstructured":"Honegger J, Ernemann U, Psaras T, Will B: Objective criteria for successful transsphenoidal removal of suprasellar nonfunctioning pituitary adenomas. A prospective study. Acta Neurochir (Wien) 149:21\u201329, 200710.1007\/s00701-006-1044-617086476"},{"key":"b13-jns161833","series-title":"J Neurooncol","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1023\/A:1012969719503","article-title":"Endoscopic transsphenoidal surgery","volume":"54","author":"Jho HD:","year":"2001","unstructured":"Jho HD: Endoscopic transsphenoidal surgery. J Neurooncol 54:187\u2013195, 20011176143510.1023\/A:1012969719503"},{"key":"b14-jns161833","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/j.wneu.2014.07.029","article-title":"Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings","volume":"33","author":"Knosp E,","year":"1993","unstructured":"Knosp E, Steiner E, Kitz K, Matula C: Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Neurosurgery 33:610\u2013618, 1993823280010.1016\/j.wneu.2014.07.029"},{"key":"b15-jns161833","series-title":"J Neurol Surg Rep","first-page":"e98","article-title":"Combined transnasal and transcranial removal of a giant clival chordoma","volume":"75","author":"Koechlin NO,","year":"2014","unstructured":"Koechlin NO, Simmen D, Briner HR, Reisch R: Combined transnasal and transcranial removal of a giant clival chordoma. J Neurol Surg Rep 75:e98\u2013e102, 2014"},{"key":"b16-jns161833","series-title":"Pituitary","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1007\/s11102-011-0359-3","article-title":"Endoscopic endonasal compared with microscopic trans-sphenoidal and open transcranial resection of giant pituitary adenomas","volume":"15","author":"Komotar RJ,","year":"2012","unstructured":"Komotar RJ, Starke RM, Raper DM, Anand VK, Schwartz TH: Endoscopic endonasal compared with microscopic trans-sphenoidal and open transcranial resection of giant pituitary adenomas. Pituitary 15:150\u2013159, 201210.1007\/s11102-011-0359-3"},{"key":"b17-jns161833","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1194","DOI":"10.3171\/2013.6.JNS122259","article-title":"Endoscopic endonasal surgery for craniopharyngiomas: surgical outcome in 64 patients","volume":"119","author":"Koutourousiou M,","year":"2013","unstructured":"Koutourousiou M, Gardner PA, Fernandez-Miranda JC, Tyler-Kabara EC, Wang EW, Snyderman CH: Endoscopic endonasal surgery for craniopharyngiomas: surgical outcome in 64 patients. J Neurosurg 119:1194\u20131207, 201310.3171\/2013.6.JNS12225923909243"},{"key":"b18-jns161833","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"1401","DOI":"10.1007\/s00701-011-1029-y","article-title":"Combined simultaneous transcranial and transsphenoidal resection of large-to-giant pituitary adenomas","volume":"153","author":"Leung GK,","year":"2011","unstructured":"Leung GK, Law HY, Hung KN, Fan YW, Lui WM: Combined simultaneous transcranial and transsphenoidal resection of large-to-giant pituitary adenomas. Acta Neurochir (Wien) 153:1401\u20131408, 20112153366010.1007\/s00701-011-1029-y"},{"key":"b19-jns161833","series-title":"Pituitary","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s11102-011-0319-y","article-title":"An endoscopic modification of the simultaneous \u2018above and below\u2019 approach to large pituitary adenomas","volume":"15","author":"Leung GK,","year":"2012","unstructured":"Leung GK, Yuen MM, Chow WS, Tse PY, Lui WM: An endoscopic modification of the simultaneous \u2018above and below\u2019 approach to large pituitary adenomas. Pituitary 15:237\u2013241, 2012. (Erratum in Pituitary 15: 242, 2012)2163807510.1007\/s11102-011-0319-y"},{"key":"b20-jns161833","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"438","DOI":"10.3171\/jns.2004.100.3.0438","article-title":"Gamma Knife surgery for treatment of residual nonfunctioning pituitary adenomas after surgical debulking","volume":"100","author":"Losa M,","year":"2004","unstructured":"Losa M, Valle M, Mortini P, Franzin A, da Passano CF, Cenzato M, : Gamma Knife surgery for treatment of residual nonfunctioning pituitary adenomas after surgical debulking. J Neurosurg 100:438\u2013444, 200410.3171\/jns.2004.100.3.043815035279"},{"key":"b21-jns161833","series-title":"Neurosurgery","first-page":"485","article-title":"Combined supra-infrasellar approach for large pituitary tumors","volume":"14","author":"Loyo M,","year":"1984","unstructured":"Loyo M, Kleriga E, Mateos H, de Leo R, Delgado A: Combined supra-infrasellar approach for large pituitary tumors. Neurosurgery 14:485\u2013488, 19846728153"},{"key":"b22-jns161833","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1227\/01.NEU.0000255459.14764.BA","article-title":"Surgical treatment of giant pituitary adenomas: strategies and results in a series of 95 consecutive patients","volume":"60","author":"Mortini P,","year":"2007","unstructured":"Mortini P, Barzaghi R, Losa M, Boari N, Giovanelli M: Surgical treatment of giant pituitary adenomas: strategies and results in a series of 95 consecutive patients. Neurosurgery 60:993\u20131004, 200710.1227\/01.NEU.0000255459.14764.BA"},{"key":"b23-jns161833","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.wneu.2011.07.013","article-title":"Simultaneous combined supra-infrasellar approach for giant\/large multilobulated pituitary adenomas","volume":"77","author":"Nishioka H,","year":"2012","unstructured":"Nishioka H, Hara T, Usui M, Fukuhara N, Yamada S: Simultaneous combined supra-infrasellar approach for giant\/large multilobulated pituitary adenomas. World Neurosurg 77:533\u2013539, 20122212033110.1016\/j.wneu.2011.07.013"},{"key":"b24-jns161833","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1007\/s00701-009-0336-z","article-title":"Combined trans-sphenoidal and simultaneous trans-ventricular-endoscopic decompression of a giant pituitary adenoma: case report","volume":"151","author":"Ojha BK,","year":"2009","unstructured":"Ojha BK, Husain M, Rastogi M, Chandra A, Chugh A, Husain N: Combined trans-sphenoidal and simultaneous trans-ventricular-endoscopic decompression of a giant pituitary adenoma: case report. Acta Neurochir (Wien) 151:843\u2013847, 20091939936610.1007\/s00701-009-0336-z"},{"key":"b25-jns161833","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"979","DOI":"10.1007\/s00701-015-2424-6","article-title":"The supraorbital keyhole approach: how I do it","volume":"157","author":"Reisch R,","year":"2015","unstructured":"Reisch R, Marcus HJ, Kockro RA, Ulrich NH: The supraorbital keyhole approach: how I do it. Acta Neurochir (Wien) 157:979\u2013983, 201510.1007\/s00701-015-2424-6"},{"issue":"4 Suppl","key":"b26-jns161833","series-title":"Neurosurgery","first-page":"242","article-title":"Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision","volume":"57","author":"Reisch R,","year":"2005","unstructured":"Reisch R, Perneczky A: Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision. Neurosurgery 57:4 Suppl242\u2013255, 200516234671"},{"key":"b27-jns161833","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.wneu.2010.02.024","article-title":"Combined endoscopic transsphenoidal-transventricular approach for resection of a giant pituitary macroadenoma","volume":"74","author":"Romano A,","year":"2010","unstructured":"Romano A, Chibbaro S, Marsella M, Oretti G, Spiriev T, Iaccarino C, : Combined endoscopic transsphenoidal-transventricular approach for resection of a giant pituitary macroadenoma. World Neurosurg 74:161\u2013164, 20102130000810.1016\/j.wneu.2010.02.024"},{"key":"b28-jns161833","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1227\/00006123-199504000-00005","article-title":"The trans-sphenoidal removal of nonfunctioning pituitary adenomas with suprasellar extensions: the open sella method and intentionally staged operation","volume":"36","author":"Saito K,","year":"1995","unstructured":"Saito K, Kuwayama A, Yamamoto N, Sugita K: The trans-sphenoidal removal of nonfunctioning pituitary adenomas with suprasellar extensions: the open sella method and intentionally staged operation. Neurosurgery 36:668\u2013676, 199510.1227\/00006123-199504000-00005"},{"key":"b29-jns161833","series-title":"Br J Neurosurg","doi-asserted-by":"publisher","first-page":"31","DOI":"10.3109\/02688690903370305","article-title":"Giant pituitary adenomas\u2014an enigma revisited. Microsurgical treatment strategies and outcome in a series of 250 patients","volume":"24","author":"Sinha S,","year":"2010","unstructured":"Sinha S, Sharma BS: Giant pituitary adenomas\u2014an enigma revisited. Microsurgical treatment strategies and outcome in a series of 250 patients. Br J Neurosurg 24:31\u201339, 201010.3109\/02688690903370305"},{"key":"b30-jns161833","series-title":"Br J Neurosurg","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1080\/0268869031000153161","article-title":"Subdural haematoma after trans-sphenoidal surgery","volume":"17","author":"Sudhakar N,","year":"2003","unstructured":"Sudhakar N, Vafidis JA: Subdural haematoma after trans-sphenoidal surgery. Br J Neurosurg 17:253\u2013255, 200310.1080\/026886903100015316114565524"},{"key":"b31-jns161833","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"545","DOI":"10.3171\/2007.12.17635","article-title":"Endoscopic pituitary surgery: a systematic review and meta-analysis","volume":"111","author":"Tabaee A,","year":"2009","unstructured":"Tabaee A, Anand VK, Barr\u00f3n Y, Hiltzik DH, Brown SM, Kacker A, : Endoscopic pituitary surgery: a systematic review and meta-analysis. J Neurosurg 111:545\u2013554, 200910.3171\/2007.12.1763519199461"},{"key":"b32-jns161833","series-title":"Acta Neurochir Suppl","first-page":"13","article-title":"Management of huge pituitary adenomas","volume":"65","author":"Takakura K,","year":"1996","unstructured":"Takakura K, Teramoto A: Management of huge pituitary adenomas. Acta Neurochir Suppl 65:13\u201315, 19968738485"},{"key":"b33-jns161833","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"2089","DOI":"10.1007\/s00701-015-2612-4","article-title":"How I do it: shoelace watertight dural closure in extended transsphenoidal surgery","volume":"157","author":"Takeuchi K,","year":"2015","unstructured":"Takeuchi K, Nagatani T, Wakabayashi T: How I do it: shoelace watertight dural closure in extended transsphenoidal surgery. Acta Neurochir (Wien) 157:2089\u20132092, 201510.1007\/s00701-015-2612-4"},{"key":"b34-jns161833","series-title":"Pituitary","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1007\/s11102-016-0746-x","article-title":"Incidence and risk factors of subdural hematoma after intraoperative cerebrospinal fluid leakage during the transsphenoidal approach","volume":"19","author":"Takeuchi K,","year":"2016","unstructured":"Takeuchi K, Watanabe T, Nagatani T, Nagata Y, Chu J, Wakabayashi T: Incidence and risk factors of subdural hematoma after intraoperative cerebrospinal fluid leakage during the transsphenoidal approach. Pituitary 19:565\u2013572, 20162759185810.1007\/s11102-016-0746-x"},{"key":"b35-jns161833","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1054\/jocn.2001.0956","article-title":"Chronic subdural hematoma after transsphenoidal surgery","volume":"9","author":"Tanaka Y,","year":"2002","unstructured":"Tanaka Y, Kobayashi S, Hongo K, Tada T, Kakizawa Y: Chronic subdural hematoma after transsphenoidal surgery. J Clin Neurosci 9:323\u2013325, 20021209314710.1054\/jocn.2001.0956"},{"issue":"6 Suppl","key":"b36-jns161833","series-title":"World Neurosurg","first-page":"S72","article-title":"The supraorbital endoscopic approach for tumors","volume":"82","author":"Wilson DA,","year":"2014","unstructured":"Wilson DA, Duong H, Teo C, Kelly DF: The supraorbital endoscopic approach for tumors. World Neurosurg 82:6 SupplS72\u2013S80, 2014"},{"issue":"4","key":"b37-jns161833","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E5","DOI":"10.3171\/2010.1.FOCUS09307","article-title":"Craniopharyngioma: a comparison of tumor control with various treatment strategies","volume":"28","author":"Yang I,","year":"2010","unstructured":"Yang I, Sughrue ME, Rutkowski MJ, Kaur R, Ivan ME, Aranda D, : Craniopharyngioma: a comparison of tumor control with various treatment strategies. Neurosurg Focus 28:4E5, 201010.3171\/2010.1.FOCUS0930720367362"},{"key":"b38-jns161833","series-title":"World J Surg","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1007\/s00268-007-9320-z","article-title":"Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system","volume":"32","author":"Yule S,","year":"2008","unstructured":"Yule S, Flin R, Maran N, Rowley D, Youngson G, Paterson-Brown S: Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World J Surg 32:548\u2013556, 200810.1007\/s00268-007-9320-z18259809"},{"key":"b39-jns161833","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"286","DOI":"10.3171\/2010.8.JNS10520","article-title":"Defining the \u201cedge of the envelope\u201d: patient selection in treating complex sellar-based neoplasms via transsphenoidal versus open craniotomy","volume":"114","author":"Zada G,","year":"2011","unstructured":"Zada G, Du R, Laws ER Jr: Defining the \u201cedge of the envelope\u201d: patient selection in treating complex sellar-based neoplasms via transsphenoidal versus open craniotomy. J Neurosurg 114:286\u2013300, 20112081569810.3171\/2010.8.JNS10520"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/128\/3\/article-p685.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/128\/3\/article-p685.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/128\/3\/article-p685.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T05:31:09Z","timestamp":1743399069000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/128\/3\/article-p685.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":39,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2016.11.jns161833","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}