Objectives: The current work aimed was for the evaluation of extra-capsular resection of hypophysis adenoma for complete total resection and preservation of hypophysis function.
Patients and methods: This was descriptive prospective study that assessed and evaluated patients who has been diagnosed as hypophysis adenoma and undergoing trans-sphenoidal surgery as for preoperative, intraoperative and postoperative evaluation away from exclusion criteria. The study was carried out at Neurosurgery Dep. of Al-Azhar University Hospital "Al-Hussein" and "Bab El-Shaeria. It was carried out on 30 patients.
Results: operative time ranged 90 – 210 minutes, meanwhile hospital stay ranged 3 – 7 days. 83.3% of them had Soft suckable tumour. 40% of them had Partial resection. 16.7% of them had distinct pseudo capsular identification. 6.66 % of them have En bloc capsulectomy and 13.3% had fragmented capsulectomy.
Conclusion: The trans-sphenoidal pseudo capsule-built extra-capsular resection method delivers more effective and safer treatment than the traditional intra-capsular method, with a elevated tumour removals and remission rates, and lesser recurrence rates, being difficult to achieve except certain circumstance like a small tumour and longer operative time to clearly dissect the tumour from the gland.