MINI-INVASIVE TREATMENT FOR TUMOR DISEASES OF THE ADRENAL GLAND

Over the past two decades, the frequency of adrenal diseases, found incidentally or looking for a connection with other related diseases, has increased significantly with the help of high-tech, highly informative and widely available diagnostic methods. This contributed to an increase in scientific interest in their surgical treatment and in particular in mini-invasive methods. An important place in the treatment of adrenal tumor diseases is occupied by the various surgical approaches caused by the deep topographic anatomical location of the adrenal glands in the retroperitoneal space. The number of literature sources discussing this problem in order to ensure the greatest safety and effectiveness in the healing process has grown significantly.

Another important point in determining operative access to the gland is the presence of endocrine-metabolic disorders in patients with hormonally active tumors of the adrenal glands. glands. It is known that precisely the surgical intervention in these tumors is accompanied by pronounced hemodynamic and metabolic disorders. The main determining factor in choosing the optimal surgical approach is the size of the tumor and its morphological appearance. The fact is that endoscopic treatment of adrenal diseases has already completely replaced open surgery with its time-proven advantages over it.

There is still a learning curve when choosing a specific surgical approach, but once established in a surgical unit, it results in minimal, and in some cases no, conversions to open surgery. However controversial and heterogeneous the opinions of different authors are regarding the various minimally invasive approaches to the treatment of the adrenal glands, one thing is clear: they improve the quality of life of patients through faster recovery, and this is the main factor underlying the health of the person.