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Bookmark & sharePituitary tumour removal › The operation
In order to have a clear view of Christine's tumour, Nick Thomas used an endoscope which was inserted through her right nostril. This endoscope could reach the pituitary gland through air pockets in the paranasal sinuses. Mr Thomas then removed a thin layer of bone and peeled away a layer of protective tissue to gain access to the gland. He used a surgical aspirator, which first sent out ultrasound waves to break up the tumour, and then vacuumed away the tumourous tissue. Samples of this tissue were then taken for biopsy. Finally the endoscope was pulled back out of the nostril and gauze was placed in Chritine's nose.
Tools of the trade
The surgical team used a variety of tools during the operation. A key instrument in this surgical procedure was the endoscope.
Endoscope
The endoscope allows surgeons to see the area they are operating on with minimal trauma to the patient. The pituitary tumour is accessed by inserting the end of the endoscope into the patient's nostril.
Camera
A digital camera and a light source are attached to transmit the images of the tumour to a large monitor.
Scope
Sometimes the end of the scope is angled, allowing the surgeon to see round corners. Awkwardly placed tumours require the use of different scopes.
