Abstract
Pituitary surgery is a distinct subspecialty of neurosurgery in which specific knowledge and interest of pituitary pathophysiology go with precise awareness of basic neurosurgical techniques and associated skills. Nowadays the neurosurgeon has more than one option, including the medical, surgical, and radiotherapeutic ones, alone or in various combinations, in order to manage many of the different pituitary syndromes. The best outcomes for pituitary surgery are obtained in centers where the entire range of pituitary specialties is offered in an environment of effective teamwork. The postoperative management with a long-term patient follow-up in pituitary surgery, perhaps more than other areas of neurosurgery, makes the difference between a satisfactory result and a poor result. It is in such a context that pituitary surgery should be approached today, where the neurosurgeon dealing with techniques, indications, and results resembles a member of an orchestra who is playing a refined instrument. The neurosurgeon must have a keen perception, good instincts, steady hands, and the ability to perform a tailor-made operation for the individual patient and not mass.
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Cappabianca, P., Del Basso De Caro, M., Villa, A. (2016). Introduction. In: Cappabianca, P., Cavallo, L., de Divitiis, O., Esposito, F. (eds) Midline Skull Base Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-21533-4_1
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