ArticlePituitary2021
Pituitary society expert Delphi consensus: operative workflow in endoscopic transsphenoidal pituitary adenoma resection.
Article in Pituitary, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review of annotation for surgical process model analysis in minimally invasive surgery based on video.Surgical endoscopy · 2023Pooled it
- Reported outcomes in transsphenoidal surgery for pituitary adenomas: a systematic review.Pituitary · 2023Pooled it
- Pediatric pituitary adenomas are more aggressive, more likely to be hormone producing and are more difficult to cure than adult pituitary adenomas: case series and systematic literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Pooled it
- First-in-human evaluation of real-time pixel-level AI-assisted anatomical segmentation in neurosurgery: pituitary surgery as an exemplar.Pituitary · 2026Article
- Pituitary Society Delphi consensus on the role of radiotherapy for pituitary adenomas.Pituitary · 2026Review
- Artificial intelligence in pituitary surgery: the path to clinical solutions.Endocrine-related cancer · 2026Review
- Action classification for endoscopic pituitary adenoma resection: a consensus-based study.International journal of computer assisted radiology and surgery · 2026Article
- Article
- Endoscopic endonasal infrachiasmatic approach to intra-third ventricle craniopharyngiomas: surgical outcomes and limits to complete resection.Pituitary · 2026Article
- Article
- Consensus on the use of artificial intelligence in the management and measurement of vestibular schwannomas: A protocol for a modified delphi consensus.Neuroradiology · 2026Article
- PituPhase65: An endoscopic pituitary surgery dataset for surgical phase recognition.Scientific data · 2026Article
- Free Fat Grafts in Endoscopic Skull Base Closure: A Clinical Outcome Analysis.Journal of clinical medicine · 2026Article
- Multi-Center, Multi-National Outcomes Following Endoscopic Endonasal Resection of Nonfunctional Pituitary Adenomas.Journal of neurological surgery. Part B, Skull base · 2026Article
- Review
- Intranasal povidone-iodine concentration and olfactory recovery after endoscopic endonasal pituitary surgery.Pituitary · 2026Article
- Article
- Article
- Two-stage surgery for cystic craniopharyngiomas: a purely endoscopic strategy and outcomes.Pituitary · 2025Article
- Endoscopic endonasal resection of giant pituitary adenomas - case series from the referral pituitary center.Pituitary · 2025Article
Corrections and comments
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Authors and funding
26 authors.
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Abstract
purposeSurgical workflow analysis seeks to systematically break down operations into hierarchal components. It facilitates education, training, and understanding of surgical variations. There are known educational demands and variations in surgical practice in endoscopic transsphenoidal approaches to pituitary adenomas. Through an iterative consensus process, we generated a surgical workflow reflective of contemporary surgical practice.
methodsA mixed-methods consensus process composed of a literature review and iterative Delphi surveys was carried out within the Pituitary Society. Each round of the survey was repeated until data saturation and > 90% consensus was reached.
resultsThere was a 100% response rate and no attrition across both Delphi rounds. Eighteen international expert panel members participated. An extensive workflow of 4 phases (nasal, sphenoid, sellar and closure) and 40 steps, with associated technical errors and adverse events, were agreed upon by 100% of panel members across rounds. Both core and case-specific or surgeon-specific variations in operative steps were captured.
conclusionsThrough an international expert panel consensus, a workflow for the performance of endoscopic transsphenoidal pituitary adenoma resection has been generated. This workflow captures a wide range of contemporary operative practice. The agreed "core" steps will serve as a foundation for education, training, assessment and technological development (e.g. models and simulators). The "optional" steps highlight areas of heterogeneity of practice that will benefit from further research (e.g. methods of skull base repair). Further adjustments could be made to increase applicability around the world.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.