Abstract: Objective:To explore the management measure of enhanced recovery after surgery（ERAS）in patients with pseudocapsule based microsurgery for transsphenoid pituitary adenoma.Methods:From June 2017 to December 2017，122 patients with pituitary adenoma treated with pseudocapsule based extracapsular transsphenoid microsurgery，and 65 patients were in the ERAS group and 57 in control group，clinical materials and followups were retrospectively analyzed.Results:Compared to the control group with classical perioperative management，the ERAS group had better KPS grades（P<0.05）and more satisfaction at inhospital duration（P<0.05），shorter inhospital time（P<0.05）and inbed time（P<0.05），meanwhile less complication rate of epitaxies and diabetes（P<0.05）.Conclusion:The integration of ERAS concept into the pituitary surgery with extrapseudocapsule mode could minimize the surgical trauma and maximize the function protection for neurosurgical patients.The ERAS management was crucial to improve the surgical effect and patients’ experience during hospitalization，it is worthy to generalize it in clinical practice.

Key words: enhanced recovery after surgery, pituitary adenoma, pseudocapsulebased, transsphenoidal microsurgery