[Lateral extraperitoneal mini-approach for adrenalectomy].
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.
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D000293:Adolescent; D000307:Adrenal Gland Diseases / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010529:Peritoneal Cavity / Q000601:surgery; D016896:Treatment Outcome