Retroperitoneal laparoscopic operation for aldosterone-producing adenomas: a report of 205 cases
10.3760/cma.j.issn.1671-7368.2011.08.021
- VernacularTitle:后腹腔镜手术治疗腺瘤型原发性醛固酮增多症205例临床分析
- Author:
Kunlong TANG
;
Changhai YANG
;
Liming LI
- Publication Type:Journal Article
- Keywords:
Hyperaldosteronism;
Laparoscopy
- From:
Chinese Journal of General Practitioners
2011;10(8):583-585
- CountryChina
- Language:Chinese
-
Abstract:
Two hundred and five patients with a confirmed diagnosis of aldosterone-producing adenomas underwent retroperitoneal laparoscopic operation from January 1999 to December 2009 in our hospital. All cases had hypokalemia and hypertension preoperatively. Of all the cases, 80 received total adrenalectomy and 125 received partial adrenalectomy. Operations were successfully performed in all cases. The time of operation ranged from 15 to 150 min [mean(45 ±13) min] and the volume of bleeding during operation ranged from 10 to 200 ml [mean(25 ±10) ml]. The length of hospital stay ranged from 4 to 9 d [mean(6. 8 ± 1. 2) d]. All patients were followed up for 0. 5 - 2 years (mean 1. 2 years). After operations blood potassium levels returned to normal in all cases, blood pressure returned to normal in 168 cases (82.0% ) . Results indicated that partial or total adrenalectomy with retroperitoneal laparoscopy for aldosterone-producing adenomas was safe and feasible technique.
