The effectiveness of laparoscopic adrenalectomy in patients with adrenal genesis arterial hypertension

The effectiveness of laparoscopic adrenalectomy in patients with adrenal genesis arterial hypertension Tashkent Medical Academy Rakhimov Anvar Supervisor: MD. PhD. U.B.Berkinov Actualty Important role in the development of arterial hypertension, cause adrenal pathology. Adrenal genesis hypertension determine from 8 to 14% of all symptomatic hypertensions. The issue of improving the results of surgical treatment in patients with benign tumors and cysts of the adrenal glands. AH currently remains one of the most important event in modern surgery. Aim of the study Improve the results of surgical treatment of patients with adrenal genesis hypertension by improving and implementation of the principles of optimal use of endovideosurgical operational techniques when performed adrenalectomy. OBJECTIVES OF THE STUDY 1. Based on a retrospective analysis to evaluate the effectiveness of traditional access adrenalectomy in patients with hypertension adrenal genesis. 2. Identify the indications for laparoscopic adrenalectomy in patients with hypertension adrenal genesis. 3. Examine the results of laparoscopic adrenalectomy in patients with arterial hypertension adrenal genesis and compare its results with the traditional method. 4. On the basis of the work to develop a treatment algorithm for patients with arterial hypertension adrenal genesis. Methods of treatment in patients with adrenal genesis arterial hypertension Сonservative therapy Laparoscopic adrenalectomy Сonventional adrenalectomy Endovascular destruction MATERIALS RESEARCH 2006-2014 yy Group I (n = 54) Main LAE Group II (n=62) Control TAE 116 PATIENTS Laboratory ACTH Cortisol Aldosterone Renin in the blood USI MRI Tools METHODS OF DIAGNOSTICS MSCT Selective venography Lower cavagraphy Parathyroid hormone, calcitonin Insulin, C-peptide, gastrin Chromogranin ...