Endonasal endoscopic or endoscopic-assisted transcranial surgery of Rathke’s cleft cysts: does the approach and surgical technique influence the radicality and recurrence rate?

Regarding its equal outcome with its lower complication rate, the authors suggest using the supraorbital keyhole approach for RCCs whose anatomical configuration allow both techniques. Yet, the decision should always consider the surgeon's personal experience and other individual patient characteristics. Further studies with higher numbers of cases and longer follow-up periods are necessary to analyse the effect of the selected approach on recurrence.