The conversational position in endoscopic pituitary surgery

Jinendra Ekanayake*, Irene Baudracco, Anjum Quereshi, Tom Vercauteren, Neil L Dorward

*Corresponding author for this work

Research output: Contribution to journalComment/debatepeer-review

10 Citations (Scopus)


We describe a novel patient position for endoscopic transphenoidal surgery–the ‘conversational position’. This position is a safe and effective alternative to the standard supine position, incorporating a semi-sitting position with the additional innovation of achieving a ‘conversational position’ by flexing the neck and turning the patient’s head turned to face the surgeon. The ‘conversational’ position offers improvements in the surgical approach to sellar region, addressing specific intraoperative challenges such as maintaining a bloodless operative field, and enabling more intuitive and ergonomic surgical workflow.

Original languageEnglish
Pages (from-to)44-46
Number of pages3
JournalBritish Journal of Neurosurgery
Issue number1
Early online date4 Dec 2017
Publication statusPublished - 2 Jan 2018


  • Endoscopy
  • pituitary surgery
  • sellar mass
  • trans-sphenoidal surgery


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