Study of the Surgical Management of Pituitary Adenoma

The author has reviewed the results of microsurgical management in 56 patients with pituitary adenoma, In a series of 56 pituitary adenomas, 10(18%) were nonsecreting and 46(82%) produced hypersecretion syndrome : prolaction(34), human growth hormone(6), mixed prolactin and growth hormone(1), adrenocortcotropic hormone(5). The number of microadenomas were 6 cases. In the aspects of operative procedures the trans-sphenoidal procedure approach were given in 38(69%) cases and the transcranial approach in 18(31%) cases. In anatomic(radiographic and operative) classification, non-surprasella extension(5), occupies surprasellar cistern(27%), recesses of third ventricle obliterated(11), third ventricle grossly displaced(7) and parasellar extension(5) were observed. The overall morbidity and mortality were 3.6% and 10.7% respecterely.