[Pre- and postoperative endocrinologic findings in patients with acromegaly in transsphenoidal surgery].

34 (69%) of 49 patients suffering from acromegaly had normal growth hormone levels after transnasal-transsphenoidal adenotomy. The operation impaired the other pituitary endocrine functions in a few cases only, these being improved in other cases. There were few operative complications (meningitis 3, significant peroperative bleeding 3, longer lasting diabetes insipidus 5). Transnasal-transsphenoidal selective adenomectomy with the aid of a dissecting microscope has a lower morbidity and mortality than the transfrontal approach. Its results are good in comparison to other therapies, especially if the postoperative complications and endocrine losses of function are considered.