engleski

Trans-sphenoidal approach to pituitary tumors : the initial approach and the method of choice in Croatia

After the Austrian surgeon Hermann Schloffer (1868-1937) has pioneered a trans-sphenoidal approach to the pituitary gland in 1907 this method was spread, and modified worldwide including Croatia. The earliest published results of surgical procedures involving pituitary tumors in Croatia were published in a Czech journal in 1927, by Ante Šercer. All cases, mentioned by Šercer, were done using the transseptal-endonasal method modified according to Hirsch-Segura therefore it was both, the initial approach and also the method of choice in Zagreb, right from the very beginning. We can certainly conclude that in the Zagreb medical circles, the interest for trans-sphenoidal approach to pituitary tumors has not been diminished or lost, rather it was nourished, developed, and slowly modified. Norman Dott was, by no doubt, on a global level, accountable for sustaining and reaffirming this trans-sphenoidal pituitary surgery by bringing it back in big fashion to hospital centers across Europe and America . Nevertheless, in our region, Ante Šercer has been just as important, since due to him, this method was never abandoned, and his students through their enthusiasm have improved and popularized it. Today, almost a whole century after its introduction, it is used to operate about 95% of sellar region tumors.

pituitary gland; pituitary tumor; transsphenoidal approach; neurosurgical history; Ante Šercer; Croatia

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