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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pmj</journal-id><journal-title-group><journal-title xml:lang="ru">Тихоокеанский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Pacific Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-1175</issn><publisher><publisher-name>TGMU</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.34215/1609-1175-2020-1-55-59</article-id><article-id custom-type="elpub" pub-id-type="custom">pmj-418</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕТОДИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>METHODS</subject></subj-group></article-categories><title-group><article-title>Опыт эндоскопического лечения пациентов с новообразованиями надпочечников</article-title><trans-title-group xml:lang="en"><trans-title>Experience in endoscopic treatment of patients with adrenal neoplasms</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0472-9504</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стегний</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stegniy</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, проф., чл.-корр. РАН, директор Института хирургии, 690002, г. Владивосток, пр-т Острякова, 2; заведующий центром хирургии Медицинского центра, 690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, PhD, professor, member of the Russian Academy of Sciences, Director of the Surgery Institute, 2 Ostryakova Ave., Vladivostok, 690002;</p><p>head of the Surgery Department, 8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">kstegniy@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4234-2207</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кулакова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kulakova</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач центра хирургии Медицинского центра ДВФУ,</p><p>ассистент института хирургии ТГМУ,</p><p>690002, г. Владивосток, пр-т Острякова, 2</p></bio><bio xml:lang="en"><p>assistant at Surgery Institute, 2 Ostryakova Ave., Vladivostok, 690002;</p><p>MD, Surgery Department, 8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">tatiana.kulakova1@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2348-934X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Двойникова</surname><given-names>Е. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Dvoinikova</surname><given-names>E. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент Института хирургии 690002, г. Владивосток, пр-т Острякова, 2;</p><p>врач Медицинского центра, 690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, PhD, associate professor, 2 Ostryakova Ave., Vladivostok, 690002;</p><p>endoscopist, Surgery Department, 8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">katerinadw@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6261-7511</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гончарук</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Goncharuk</surname><given-names>R. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент Института хирургии, 690002, г. Владивосток, пр-т Острякова, 2;</p><p>врач Медицинского центра, 690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, PhD, associate professor, 2 Ostryakova Ave., Vladivostok, 690002;</p><p>surgeon, 8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">goncharuk.ra@dvfu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозова</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozova</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, профессор Школы биомедицины, 690950, г. Владивосток, ул. Суханова, 8;</p><p>заведующая Приморским краевым центром диабета и эндокринных заболеваний, 690105, г. Владивосток, ул. Русская, 55</p></bio><bio xml:lang="en"><p>MD, PhD, professor, Biomedicine School, 8 Sukhanova St., Vladivostok, 690950;</p><p>head of the Primorskiy Regional Center of Diabetes and Endocrine Diseases, 55 Russkaya St., Vladivostok, 690105</p></bio><email xlink:type="simple">allammor@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цыганкова</surname><given-names>О. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsygankova</surname><given-names>O. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>заведующая отделением эндокринологии № 1,</p><p>690105, г. Владивосток, ул. Русская, 55</p></bio><bio xml:lang="en"><p>MD, head of the Endocrinology Department No. 1, </p><p>55 Russkaya St., Vladivostok, 690105</p></bio><email xlink:type="simple">olgagr1@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5633-6633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крекотень</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Krekoten</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент Института хирургии, 690002, г. Владивосток, пр-т Острякова, 2;</p><p>врач Медицинского центра, 690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, PhD, associate professor, 2 Ostryakova Ave., Vladivostok, 690002;</p><p>surgeon, 8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">krekoten.aa@dvfu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дмитриев</surname><given-names>М. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Dmitriev</surname><given-names>M. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, врач Медицинского центра,</p><p>690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, PhD, surgeon at Surgery Department, </p><p>8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">dmitriev.mo@dvfu.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2403-4697</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сорока</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Soroka</surname><given-names>A. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, врач Медицинского центра Дальневосточного федерального университета, доцент Школы Биомедицины,</p><p>690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, PhD, Surgeon at Surgery Department of Far Eastern Federal University Medical Center, associate professor of Biomedicine School, </p><p>8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">soroka.ak@dvfu.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Моргун</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Morgun</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач Медицинского центра,</p><p>690950, г. Владивосток, ул. Суханова, 8</p></bio><bio xml:lang="en"><p>MD, </p><p>8 Sukhanova St., Vladivostok, 690950</p></bio><email xlink:type="simple">morgun.aa@dvfu.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Тихоокеанский государственный медицинский университет;&#13;
Дальневосточный федеральный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pacific State Medical University;&#13;
Far Eastern Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Дальневосточный федеральный университет;&#13;
Краевая клиническая больница № 2</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern Federal University;&#13;
Regional Clinical Hospital No. 2</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Краевая клиническая больница № 2</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Clinical Hospital No. 2</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Дальневосточный федеральный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2020</year></pub-date><volume>0</volume><issue>1</issue><fpage>55</fpage><lpage>59</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Стегний К.В., Кулакова Т.А., Двойникова Е.Р., Гончарук Р.А., Морозова А.М., Цыганкова О.Г., Крекотень А.А., Дмитриев М.О., Сорока А.К., Моргун А.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Стегний К.В., Кулакова Т.А., Двойникова Е.Р., Гончарук Р.А., Морозова А.М., Цыганкова О.Г., Крекотень А.А., Дмитриев М.О., Сорока А.К., Моргун А.А.</copyright-holder><copyright-holder xml:lang="en">Stegniy K.V., Kulakova T.A., Dvoinikova E.R., Goncharuk R.A., Morozova A.M., Tsygankova O.G., Krekoten A.A., Dmitriev M.O., Soroka A.K., Morgun A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.tmj-vgmu.ru/jour/article/view/418">https://www.tmj-vgmu.ru/jour/article/view/418</self-uri><abstract><sec><title>Цель</title><p>Цель: обобщение собственного опыта эндоскопического хирургического лечения пациентов с  новообразованиями надпочечников.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Ретроспективно оценены результаты лечения 80 пациентов (64 женщины и 16 мужчин) с новообразованиями надпочечников на базе Медцентра ДВФУ с 2014 по 2019 гг.</p></sec><sec><title>Результаты</title><p>Результаты. Адреналэктомии проводились из трех доступов: лапароскопического (49 случаев), ретроперитонеоскопического (22 случая) и лапароскопически-ассистированного (6 случаев). В трех случаях потребовалась конверсия. Удалено 70 доброкачественных и 10 злокачественных новообразований. Осложнения, в том числе одна смерть, развились в четырех случаях.</p></sec><sec><title>Заключение</title><p>Заключение. Минимально инвазивные методы адреналэктомий безопаснее и предпочтительнее открытых вмешательств в связи с уменьшением длительности пребывания пациентов в стационаре, снижением частоты осложнений, уровня болевого синдрома, объема кровопотери и потребности в наркотических анальгетиках.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective: To summarize the experience of endoscopic surgical treatment of patients with adrenal neoplasms.</p></sec><sec><title>Methods</title><p>Methods: The results of treatment of 80 patients (64 women and 16 men) with adrenal neoplasm were retrospectively analyzed in Medical Center, Far Eastern Federal University, from 2014 to 2019.</p></sec><sec><title>Results</title><p>Results: Andrenalectomies were performed via three accesses: laparoscopic (49 cases), retroperitoneoscopic (22 cases) and laparoscopy-assisted (6 cases). Three cases required conversion. 70 benign and 10 malignant neoplasms were removed. Complications, including one death, developed in four cases.</p></sec><sec><title>Conclusions</title><p>Conclusions: Minimally invasive andrenalectomy is safer and more preferable than open surgery due to reduced duration of hospital stay, decreased rate of complications, degree of pain syndrome, extent of blood loss and need for opioid analgesics. </p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>опухоли надпочечников</kwd><kwd>лапароскопия</kwd><kwd>ретроперитонеоскопия</kwd><kwd>адреналэктомия</kwd><kwd>осложнения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>adrenal tumors</kwd><kwd>laparoscopy</kwd><kwd>retroperitoneoscopy</kwd><kwd>andrenalectomy</kwd><kwd>complications</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bittner JG, Brunt LM. 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