The optimal planning of preoperative diagnosis, management and treatment of pituitary tumors (PT) candidates to pituitary surgery (PS) requires a multidisciplinary approach involving a team of endocrinologists, neurosurgeons, ENT, neuro-ophthalmologists and neuroradiologists with experience in pituitary diseases. Such teams improve surgical results, minimize complications and facilitate their correct treatment if occurring, and optimize the hormonal, ophthalmological and radiological preoperative and follow-up evaluation. We have developed a clinical practice protocol for patients with PT who are candidates to PS based on the most recent national and international guidelines and the relevant literature regarding PT published in the last years. The protocol has been elaborated by a multidisciplinary team of a Spanish Pituitary Tumor Center of Excellence (PTCE) that includes at least one neurosurgeon, ENT, neuroradiologist, neuro-ophthalmologist, endocrine pathologist and endocrinologist specialized in pituitary diseases. We elaborated this guideline with the aim of sharing our experience with other centers involved in the perioperative and surgical management of PT thereby facilitating the management of patients undergoing PS.

垂体手术 (PS) 候选人的垂体瘤 (PT) 术前诊断、管理和治疗的最佳计划需要多学科方法，包括内分泌学家、神经外科医生、耳鼻喉科、神经眼科医生和神经放射科医生，这些专家在垂体疾病方面有经验。这样的团队可以改善手术结果，最大限度地减少并发症，并在发生时促进正确治疗，并优化荷尔蒙、眼科和放射学术前和随访评估。我们根据最新的国家和国际指南以及过去几年发表的有关 PT 的相关文献，为 PT 患者制定了一项临床实践协议，这些患者是 PS 的候选者。该协议由西班牙垂体肿瘤卓越中心 (PTCE) 的多学科团队制定，该团队至少包括一名神经外科医生、耳鼻喉科、神经放射科医生、神经眼科医生、内分泌病理学家和专门研究垂体疾病的内分泌学家。我们制定本指南的目的是与其他参与 PT 围手术期和手术管理的中心分享我们的经验，从而促进对接受 PS 的患者的管理。