[Transsphenoidal approach in pituitary adenomas with suprasellar growth]

Experience in surgery through a transsphenoidal approach in 154 patients with suprasellar adenomas of the hypophysis complicated by disorders of vision is discussed. Positive changes of vision after the operation occurred in most cases. At the Budapest Scientific Research Institute of Neurosurgery the transsphenoidal approach to adenomas of the hypophysis is used in most cases, and only 10% of patients are operated on transcranially when there are tumors with parasellar growth. The authors persist in their opinion that the transsphenoidal approach is simpler in techniques and causes less injury as a result of which it can be used even in elderly patients and in those whose general condition is grave.