Sommario
Lo scopo di questa rassegna è fornire una visione generale dell’attuale stato della chirurgia ipofisaria e delle sue prospettive future, che possa essere utile ai differenti professionisti coinvolti nella gestione dei pazienti ipofisari per orientarsi nel rapido sviluppo di questo campo, anche per effetto dello sviluppo tecnologico. Oltre alla precisazione dei vantaggi, dei limiti, ma anche delle possibili evoluzioni, del rivoluzionario approccio endoscopico, verranno presentate anche le altre opzioni attualmente a disposizione della chirurgia. Saranno considerati quegli sviluppi tecnologici di imaging sia preoperatorio sia intraoperatorio che potranno caratterizzare il futuro prossimo della chirurgia ipofisaria, aumentandone ulteriormente le potenzialità, l’efficacia e la sicurezza, come la RM avanzata, i possibili sviluppi della radiomica, le applicazioni della realtà aumentata e dell’Artificial Intelligence e il valore aggiunto di un nuovo modello organizzativo, rappresentato dalle Pituitary Units, comprendenti le differenti discipline coinvolte nella gestione delle patologie ipofisarie.
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Gli autori Diego Mazzatenta, Matteo Zoli, Alessandro Pirina, Federica Guaraldi, Ernesto Pasquini, Sofia Asioli, Caterina Tonon e Marco Faustini Fustini dichiarano di non avere conflitti di interesse.
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Mazzatenta, D., Zoli, M., Pirina, A. et al. Stato dell’arte e nuove frontiere della neurochirurgia della regione ipotalamo-ipofisaria. L'Endocrinologo 22, 50–56 (2021). https://doi.org/10.1007/s40619-021-00820-9
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DOI: https://doi.org/10.1007/s40619-021-00820-9