Pre- and intraoperative management of patients with neoplasms of adrenal glands

Abstract

To assess the impact of preoperative treatment on the results of videoendoscopic adrenalectomy in patients with adrenal tumors. We included in the study 140 patients underwent videoendoscopic adrenalectomy (VEA) at the 2nd clinic of Tashkent Medical Academy between 2009-2017. Men were 65, women were 75, the age was from 14 to 72 years. All surgical interventions were performed under combined multicomponent anesthesia with intubation of the trachea and artificial ventilation of the lungs. There were no complications in the postoperative period. Duration of stay in the clinic of patients underwent lateral transabdominal adrenalectomy was 4.5 bed-days, after retroperitoneal adrenalectomy - 3.2 bed days. There were no lethal outcomes after VEA. Conclusions: VEA is a highly effective, minimally invasive method for tumors of the adrenal gland. In this case, the size of tumor should not exceed 10 cm.