ХИРУРГИЧЕСКИЙ ДОСТУП К НАДПОЧЕЧНИКАМ

摘要

FIELD: medicine, surgical endocrinology. ^ SUBSTANCE: one should perform extrapleural access to both right- and left-hand adrenal glands. One should dissect skin in XI intercostals area along the ribs against paravertebral line laterally, the length being 3-3.5 cm. In patients of dolichomorphous and mesomorphous constitutional types one should keep pleural sinus to be intact. In those of brachimorphous constitution one should exfoliate pleural sinus followed by retroperitoneoscopy. The innovation enables to decrease traumatism of surgical access to adrenal glands. ^ EFFECT: higher efficiency. ^ 1 dwg, 1 tbl