Pituitary surgery: Transsphenoidal approach

THE TRANSSPHENOIDAL APPROACH for sellar tumors has evolved significantly since it was described initially during the first decade of the 20th century. The approach currently, incorporates technological advancements and refinements in patient selection, operative technique, and postoperative scare. Although many of these innovations are considered indispensable, the operative technique, as performed contemporary neurosurgeons, is not standardized. This variability is a reflection, of surgeons preference, the lessons of experience, and the bias inherent in neurosurgical training. The methods and preferences described herein embody,the distillation of an, experience, gained from 3900 transsphenoidal operations.