["Small" tumors of the adrenal glands. Disputable points of a surgical technique]

Experience of 249 surgeries for "small" tumors of the adrenal glands whose (3-4 cm in size maximum) are analyzed. In 212 patients a small extracavitary approach through the bed of rib XI was used, in 12--thoracophrenolumbotomy through the tenth intercost. Endoscopic technology of removal of "small" adrenal tumors with transperitoneal approach was used in 25 patients. Advantages and shortcomings of "open" and endoscopic surgeries are analyzed. It is concluded that non-traumatic extracavitary approach with resection of rib XI or endoscopic technology are best for removal of "small" adrenal tumors. Small experience of endoscopic adrenalectomies doesn't permit to judge definitely about the advantage of this surgery compared with small extracavitary approach.