Surgery of adrenal tumors is in the focus of Surgeons. In 1889 aLondonsurgeon Knowsley Thornton first performed adrenalectomy, since that time surgery has gradually perfected. In 1992 M. Gagner successfully performed the first laparoscopic adrenalectomy. Implementation of the laparoscopic adrenalectomy in practice greatly reduce the incidence of postoperative complications, length of hospital stay and improved rehabilitation patients.
The goal of research was to analyze the various methods of endoscopic treatment, preparation for surgery and anesthesia in patients with pheochromocytoma.
Materials and methods. We analyzed 77 cases of adrenalectomy in patients with tumors of adrenal glands (2010–2014). 12 patients were diagnosed pheochromocytoma.
Results and discussion. Question of choice of management of patients were with pheochromocytoma is actual. We considered the possibility of modern operating techniques, preoperative preparation and anesthesia in patients with pheochromocytoma.
Conclusions. 1. The method of preoperative preparation of patients by Ebrantil and its intravenous introduction during the surgical removal of pheochromocytoma is a safe and effective way of correcting blood pressure.
2. High efficiency and performance by Ebrantil let us admit it a promising drug for preoperative preparation and blocking adrenal crises during surgical intervention in patients with adrenal feochromacytoma.
3. We prefer endoscopic retroperitoneal adrenalectomy when the tumor is in the left adrenal gland, as well as the duration of the operation and the degree of interference is lower as compared with laparoscopic intervention. Patients in the postoperative period require lower doses of analgesics, and the time spent in hospital and rehabilitation period are shorter.