I just wanted to through in my two cents word of caution - everyone's case and tumor are different; I've been told thatt there is not always "one" way to go regarding surgery and treatment. Dr's have told me that pit tumors should always be viewed on a case by case basis. Endonasal is not always the best way to go, some people may need trans, some people (like me) may need a crainiotomy - the location, size, and type of tumor all play a part in this decision.
Always trust your instincts; if you don't have a good feeling about the surgeon, and you've done your research on them, go get a 2nd, 3rd, and 4th opinion. My situation was life threatening by the time my tumor was found, but within the week - I didn't have much time - (and with my family's help), I consulted with three of the most reccomended surgeons in the area. Two said I had to have a crainiotomy, just because the tumor was so large, that they had to "see" all of the areas it had gone too. One surgeon said that he would just go endonasal, and it would be fine. I opted for the crainiotomy, because I saw my surgeons track record, and the # of pit surgeries he had done, and felt that I could trust him with my life.
I went back to the surgeon who reccomeded endonasal surgery after my crainiotomy. We viewed and talked about my scans, and he read the surgeons report. When he saw that the tumor had gone up into my Sylvian fissure (the split between the left and right sides of the brain), and all of the areas in which the tumor had spread he said that there was no way they would have been able to remove it from there via endonasal surgery. He said in all probability, I would of had to go back and had a crainiotomy anyway.
Again, this is just my story, but I really don't think there is just one "best" or "cutting-edge" type of surgery for everyone.
