Comparative evaluation of adrenalectomy methods

Introduction. There are many approaches to performing adrenalectomy. laparoscopic adrenalectomy is considered the operation of choice. A uniform approach to the choice of access for adrenalectomy has not been established.Purpose of the study: to compare the effectiveness of the laparotomic, standard laparoscopic approach, as well as the author's laparoscopic approach for the safe performance of adrenalectomy.Materials and methods. 110 patients were operated on in the surgical hospital for the period from 2016 to 2019. Patients were divided into three groups: operated on by laparotomic access, laparoscopic and author's laparoscopic access.Discussion. There is no uniform approach to the choice of access for an operation. Compared to laparotomy, the laparoscopic approach during adrenalectomy makes it possible to reduce the pain syndrome in the postoperative period, accelerate the medical and social rehabilitation of patients, reduce the risk of a number of complications, or completely avoid them. The principles formed proved to be effective in the prevention of intraoperative and postoperative complications in patients after laparoscopic adrenalectomy.Conclusion. Comparative analysis showed the advantages of using the laparoscopic approach for performing adrenalectomies compared to the laparotomy approach. The developed principles of performing laparoscopic adrenalectomy make it possible to increase the efficiency and safety of laparoscopic adrenalectomy in comparison with standard laparoscopic intervention.