[Selection of the surgical approach to the adrenal glands and means of reducing suppurative complications in Cushing syndrome].

Based on their experience with 230 operations on patients with the Icenko--Cushing syndrome the authors made a conclusion that the oblique-transverse lumbar access through the XIth intercostal space was preferable in patients with newformations of the adrenals with the diameter not less than 4 cm. The exclusion was a great tumor on the right adrenal. In these cases a good access to the adrenal was provided by lateral thoracophrenotomy through the Xth intercostal space. The lumbar access in question followed by the active drainage through a special wound is thought to be preferable.