The efficacy of minimally invasive intraoperative ultrasound in endoscopic pituitary surgery
Authors' conclusion
Intraoperative ultrasound provides real-time, high-resolution imaging that enhances the precision and safety of endoscopic pituitary surgery. The technique is particularly valuable for tumor localization, identification of critical neurovascular structures, and detection of residual tumor tissue. Further studies are warranted to validate a broader applicability and refine its role in differentiating tumor from normal gland tissue.
Study context
- Population
- Patients undergoing endoscopic endonasal pituitary adenoma surgery with intraoperative US, August 2024 to June 2025
- Participants
- 22 patients
- Outcome
- Clinical utility of intraoperative US
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Gross total resection
86.4%
Observational data: associations, not effects.
Further findings
- Median follow-up
- 8 months (range, 3-13 months)
Safety
Postoperative complications
- Transient diabetes insipidus
- 3 cases
- Transient diabetes insipidus resolved within three months
- all
- There were no new postoperative hormonal deficits
- Median follow-up 8 months (range, 3-13 months)
Original publication
The efficacy of minimally invasive intraoperative ultrasound in endoscopic pituitary surgery. Pituitary. Published 16 December 2025. doi:10.
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