title: [Selection of the surgical approach to the adrenal glands and means of reducing suppurative complications in Cushing syndrome].
abstract: Based on their experience with 230 operations on patients with the Icenko--Cushing syndrome the authors made a conclusion that the oblique-transverse lumbar access through the XIth intercostal space was preferable in patients with newformations of the adrenals with the diameter not less than 4 cm. The exclusion was a great tumor on the right adrenal. In these cases a good access to the adrenal was provided by lateral thoracophrenotomy through the Xth intercostal space. The lumbar access in question followed by the active drainage through a special wound is thought to be preferable.
authors.forename: A I
authors.initials: AI
authors.lastname: Nechaĭ
authors.forename: V M
authors.initials: VM
authors.lastname: Trofimov
mesh_terms: D000311:Adrenal Glands / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D003480:Cushing Syndrome / Q000601:surgery*; D004322:Drainage; D006801:Humans; D008161:Lumbosacral Region; D012187:Retroperitoneal Space; D012272:Ribs / Q000601:surgery; D013530:Surgical Wound Infection / Q000517:prevention & control*
vernacular_title: Vybor operatsionnogo dostupa k nadpochechnikam i puti snizheniia gnoĭnykh oslozhneniĭ ran pri sindrome Itsenko-Kushinga.