[THE SPLEEN FIXING AS IMPORTANT ELEMENT OF PERFORMANCE OF LAPAROSCOPIC LEFT-SIDED ADRENALECTOMY].

Abstract The necessity of performance of orthotopic fixing of spleen after main stage of a left-sided laparoscopic adrenalectomy was substantiated. The majority of patients, first of all ordinary or with a lean stature, are complaining on a temporary discomfort and pain in abdomen of various degree, what is connected with transition of a mobilized spleen in early postoperative period. A simple method of surgical fixation of spleen is putting of 2 or 3 sutures on dissected sheets of parietal peritoneum in region of mobilization of spleen and pancreatic tail, what is securely prevents such an unwanted signs and facilitate a postoperative period course.

[CYSTIC TUMORS OF SUPRARENAL GLANDS AND PECULIARITIES OF ITS SURGICAL TREATMENT].

The clinic experience for surgical treatment of patients, suffering cyst of suprarenal gland (SG), consisted of laparoscopic resection of SG together with a cyst and preserving a visually nonaffected parts of SG, due to what the risk reduction for chronic suprarenal insufficiency of various degree occurrence was achieved. The proposed method was applied in 49 (86.0%) patients of 57, who were operated on for the SG cysts. Intraoperative morbidity, complicated postoperative course and the recurrence occurrence after the SG resection were not observed. All the patients have had recovered, so application of restorational therapy was not needed. The proposed method of laparoscopic resection of SG together with a cyst, using modern instrumental methods of hemostasis (ultrasonic scissors), permits to avoid excessive resection of functioning parenchyma of SG, to reduce the risk for health and life of the patients, caused by chronic suprarenal insufficiency and intraoperative bleeding.