SURGICAL APPROACHES OF PITUITARY ADENOMAS

This paper tries to systematize the surgical indications for pituitary adenomas surgery. We have reviewed the surgical approaches in order to ensure the optimal way of resection and the reduction of the intra- surgical accidents and the post-surgical complications at minimum. Each surgical approach is dictated by localization, size, suprasellar extension or by the invasion of the neighbouring neural elements. According to these anatomical data, there is a very well established surgical approach, which is also decided by the practical experience of the operating surgeon.