Abstract:Surgery for tumors in the sellar region is complex, accompanied by many complications. Both traditional craniotomy and emerging endoscopic transnasal techniques have advantages and disadvantages. How to improve the resection rate of tumors and reduce postoperative complications has always been difficult and hot topics in the surgical treatment of sellar region tumors. This article elaborates on the current development status, surgical approaches, endoscopic techniques for the removal of tumors in the sellar region via endonasal transsphenoidal approach, and reconstruction of the sellar floor. It also looks forward to the future development direction of the surgical treatment of sellar region tumors.