Chernyshev V N, Khamidullin A A, Aiupov A M
Khirurgiia (Mosk). 2002(11):42-8.
Experience of 249 surgeries for "small" tumors of the adrenal glands whose (3-4 cm in size maximum) are analyzed. In 212 patients a small extracavitary approach through the bed of rib XI was used, in 12--thoracophrenolumbotomy through the tenth intercost. Endoscopic technology of removal of "small" adrenal tumors with transperitoneal approach was used in 25 patients. Advantages and shortcomings of "open" and endoscopic surgeries are analyzed. It is concluded that non-traumatic extracavitary approach with resection of rib XI or endoscopic technology are best for removal of "small" adrenal tumors. Small experience of endoscopic adrenalectomies doesn't permit to judge definitely about the advantage of this surgery compared with small extracavitary approach.
对249例肾上腺“小”肿瘤（最大尺寸为3 - 4厘米）手术经验进行了分析。212例患者采用经第11肋床的小腔外入路，12例采用经第10肋间的胸膈腰切开术。25例患者采用经腹入路的内镜技术切除肾上腺“小”肿瘤。分析了“开放”手术和内镜手术的优缺点。得出结论，切除第11肋的无创腔外入路或内镜技术最适合切除肾上腺“小”肿瘤。内镜肾上腺切除术的经验有限，无法明确判断该手术与小腔外入路相比的优势。
