A 65-year-old patient, diagnosed with a cyst of the left kidney, was admitted to the urological department of a multidisciplinary regional hospital as planned. At the time of admission, the patient was concerned about complaints of pain in the left lumbar region, increased blood pressure, general weakness. The patient has been bothered by complaints for about 2 years. During the examination at the polyclinic, an ultrasound revealed a cyst of the left kidney. A CT examination was scheduled to clarify the diagnosis: Conclusion: Cyst of the upper pole of the left kidney with dimensions of 12.0x10.0x11.0cm. The patient independently applied to the clinic in Astana, where she was refused due to the complexity of the case and the huge size of the cyst. The patient was sent for surgical treatment to the urological department of the Mobile Kyzylorda.

After the patient was hospitalized in the urology department, a medical council was assembled, at which further actions were discussed. After reviewing the CT scans, it was revealed that the cyst originates from the left adrenal gland and with its huge size pushed the left kidney down, and accordingly inhibited kidney function, and the upper part of the cyst was closely attached to the spleen. Taking into account the complexity of the case, the huge size and location of the cyst, a consultation of doctors was created, consisting of the Head of the Health Department of the Kyzylorda region, Candidate of Medical Sciences, Pazilov Sabit Bekseitovich. After examining the patient, it was decided to perform the operation in the volume of "Laparoscopic adrenalectomy on the left". This type of surgery is minimally invasive and less traumatic. Which, in turn, reduces the risk of postoperative complications, reduces the length of stay of patients in the hospital.

The most important thing is the early rehabilitation of patients after surgery. Patients after such surgical interventions are activated on the 1st day and this makes it possible to quickly return to their usual lifestyle. After preoperative preparation, the patient underwent a laparoscopic adrenalectomy under general anesthesia. The duration of the operation was 50 minutes. Blood loss-10ml. It was possible to completely remove the adrenal cyst. At the moment, the patient is in the general ward.

Operational team: Surgeon: cmn. Pazilov S.B. Assistant: Iskakov E K Anesthesiologist: A.K. Satmagambetov.