[Surgical treatment of adrenocortical cancer: significance of systematic lymphodissection].

Comparative efficacy of radical methods of surgical intervention for adrenocortical cancer (ACC) with lymphodissection (LD) and without it was studied. There were operated on 280 patients for primary ACC. Adrenalectomy (AE) with en bloc excision of tumor and systematic lymph nodes dissection (paranephral, left-side paraaortal and the right-side paracaval collectors) constitutes the optimal surgical procedure. AE with retroperitoneal space lymph nodes dissection is the method of choice for ACC. AE with the tumor en bloc excision without performance of LD may give the same expected efficacy only for I-II stages tumor, when it is impossible to confirm malignancy intraoperatively.