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  • Title: [Selection of the surgical approach to the adrenal glands and means of reducing suppurative complications in Cushing syndrome].
    Author: Nechaĭ AI, Trofimov VM.
    Journal: Vestn Khir Im I I Grek; 1988 Mar; 140(3):57-61. PubMed ID: 3407077.
    Abstract:
    Based on their experience with 230 operations on patients with the Icenko--Cushing syndrome the authors made a conclusion that the oblique-transverse lumbar access through the XIth intercostal space was preferable in patients with newformations of the adrenals with the diameter not less than 4 cm. The exclusion was a great tumor on the right adrenal. In these cases a good access to the adrenal was provided by lateral thoracophrenotomy through the Xth intercostal space. The lumbar access in question followed by the active drainage through a special wound is thought to be preferable.
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