Malinin Y. Correction of Adrenalectomy Consequences in Patients with Renal Cancer after Radical Nephrectomy.

To gain the object the date of 192 patients with renal cancer after surgical treatment have been studied, these patients were observed in clinic of Urology and Nephrology of Donetsk State Medical University from 1992 to 1997 and they had not the tumor process continuation at the period of control examination. It has been determined that the performed adrenalectomy negatively affects the operation course and the postoperative period, it being due to the decompensation of the single remained adrenal gland and, in a number of cases, by the development adrenal failure after radical nephrectomy. It is for the first time that expediency has been substantiated a low-invasive method of controlling the adrenal gland state in the postoperative period developed which, through analysing patient's complaints in the prelaboratory period, highly reliably reveals a decreased function of the ipsilateral adrenal gland in the patients who underwent radical nephrectomy, assesses results of treating patients with adrenal failure. A need to adrenal failure of different degree in some patients after radical nephrectomy has been determined. It considerably improves the quality of life in patients with latent and overt adrenal failure