Lateral extraperitoneal mini-approach for adrenalectomy
Tsukanov, I.T.; Tsukanov, A.I.
Khirurgiia 9: 7-10
2003
ISSN/ISBN: 0023-1207 PMID: 14533373 Document Number: 563995
The techniques of adrenalectomy from lateral extraperitoneal mini-approach are described. This approach creates necessary space and ensures adrenalectomy in organic diseases of the adrenal glands. Fourteen operations with good short- and long-term results were performed. Limiting factors of this approach are the following: depth of the surgical wound 15 cm and more due to stage IV obesity and acute costal angle, sclerosis of retroperitoneal fat, significant splenomegaly, size of adrenal tumor more 6 cm. The "assisting hand" and endovideoscopy expand possibilities of the method.