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Адреналэктомия удаление надпочечников

 

Адреналэктомия (удаление надпочечников)

 В зависимости от заболевания удаляется один или оба надпочечника. Операция выполняется под наркозом.

Возможны два похода:

 

  1. Традиционная адреналэктомия — для выполнения операции необходим разрез кожи и мышц. В зависимости от размера опухоли и ее структуры выполняются различные разрезы. Если опухоль небольшая, достаточно небольшого разрез кожи, выполненного сбоку в поясничной области или на спине. Если опухоль больших размеров, приходится выполнять довольно широкий разрез живота. После операции остается шов.
  2. Эндоскопическая адреналэктомия выполняется с помощью специальных инструментов эндоскопов, которые вводятся через маленькие разрезы (до одного сантиметра). Такие разрезы могут быть выполнены:
  • на спине в поясничной области или на боку;
  • на животе (лапароскопическая адреналэктомия).

Эндоскопическая адреналэктомия имеет преимущества перед традиционной:

  • меньшее травмирование внутренних органов;
  • отсутствие послеоперационных рубцов на коже;
  • менее длительный постельный период (1 день при эндоскопических вмешательствах и 2-3 дня при традиционном подходе);
  • быстрая выписка из стационара: через 4-6 дней против 10-16 дней при традиционной технике;
  • раннее восстановление трудоспособности: через 15-20 дней против 1,5— 2 месяцев.

Однако эндоскопическая адреналэктомия имеет и ряд недостатков:

  • большая длительность самой операции (в среднем на 20 минут);
  • дорогое оборудование для проведения операции;
  • необходимость наличия специальных навыков у хирурга.

Удаление надпочечников в большинстве случаев позволяет вылечить заболевание. После выполнения операции в ряде случаев (например, при удалении надпочечников с обеих сторон) врач может назначить гормоны.

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