ENDOSURGICAL INTERVENTIONS FOR ADRENAL TUMORS

Aim. The aim of the study was to analyze the peculiarities of intraoperative and early postoperative periods in patients with adrenal lesions and chromaffin tissue tumors (CTT), who were operated with endovideosurgical techniques. Materials and methods. The results of surgical treatment performed in 82 patients with tumors of adrenal glands were analyzed depending on the size of lesion, morphological structure and technique of adrenalectomy; 22 patients underwent «open» operations, 60 - laparoscopic ones. Results. Endosurgical adrenalectomy for tumors larger than 5 cm was established to increase the duration of surgical intervention by 32 minutes and does not influence the number of intraoperative and postoperative complications ( r = 0,09, p = 0,70). Conclusions. Duration of surgical intervention and development of complications do not depend on morphological structure of the tumor. Simultaneous surgeries performed from the laparoscopic approach insignificantly increase the duration of surgery without elevating the number of the postoperative complications and time of hospitalization.

Adrenal tumor, laparoscopic adrenalectomy, simultaneous interventions