Contemporary indications for transsphenoidal pituitary surgery
- PMID: 25496626
- DOI: 10.1016/j.wneu.2014.07.037
Contemporary indications for transsphenoidal pituitary surgery
Abstract
Objective: To analyze current indications for transsphenoidal pituitary surgery.
Methods: The current literature regarding transsphenoidal surgery for all subtypes of pituitary adenomas and other sellar lesions was examined. Alternate approaches for pituitary surgery were also reviewed.
Results: Transsphenoidal surgery continues to be the mainstay of surgical treatment for pituitary tumors, and has good outcomes in experienced hands. Pre- and postoperative management of pituitary tumors remains an important part of the treatment of patients with pituitary tumors.
Conclusions: Even as medical and surgical treatment for pituitary tumors evolves, transsphenoidal surgery remains a mainstay of treatment. Outcomes after transshenoidal surgery have improved over time. Neurosurgeons must be aware of the indications, risks and alternatives to transsphenoidal pituitary surgery.
Keywords: Pituitary adenoma; Pituitary surgery.
Copyright © 2014 Elsevier Inc. All rights reserved.
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