SURGICAL METHODS OF CORRECTION OF ADRENAL HYPERTENSION

Abstract

We would like to share our experience of treating 301 patients, sick with genesis of adrenal hypertension, who received inpatient care in the clinic of Tashkent Medical Academy (TMA) within the period from 2000 to 2022, on whom were used the methods of treatment, which are mentioned above. Depending on the type of medical intervention, the patients were categorized into 3 groups. The first group comprised the patients, the process of intervention which was performed through traditional thorocofrenolumbotomic (TFL) access. These ways, for the shown period were performed 104 traditional adrenalectomies in patients at the age from 18 to 66. The second group constituted 47 patients in whom were performed endovascular destruction of adrenal gland (EDAG) for the above indicated period, at the age of 20 to 55. The third group of patients made up 150 people who were operated through the method of laparoscopic adrenalectomy (LA). Indications to the performance of traditional adrenalectomies were considered hormonally active and non-active adrenal tumors. At that, the size of tumors reaching 1.5 centimeters, especially the ones located on the left side were subject to endovascular destruction of adrenal gland (EDAG). After the implementation of LA, the tumors of the size from 1 to 6 centimeters, were subject to be operated this way, and the traditional way was used only in big size tumors. LA nowadays is the preferred in most of the situations with adrenal gland tumors. Following the principles of adequate behavior of patients on all of the stages of treatment allows the reduction of risk of complications, which contributes to the safety and reliability of operations