The laparoscopic surgical treatment of primary aldosteronism

VernacularTitle:腹腔镜手术治疗原发性醛固酮增多症
Author: Lei WANG
Publication Type:Journal Article
Keywords: Laparoscopic surgery; Primary aldosteronism; Adrenalectomy
From: Journal of Endocrine Surgery 2012;06(4):260-261,264
CountryChina
Language:Chinese
Abstract: Objective To investigate the effect of laparoscopic surgery on primary aldosteronism (PA).Methods 20 cases of PA treated by laparoscopic surgery from Jul.2009 to Jul.2011 were retrospectively analyzed,among whom 17 cases had adrenocortical adenoma and 3 cases had adrenal cortical hyperplasia.Results The mean surgical time was 63 (35 ～95 )min,the mean intraoperative blood loss was 50( 25 ～ 110)ml,and the mean hospital stay was 5.8 (4 ～ 8)d.Complication during or after surgery happened to 2 patients.They are both with light cutaneous emphysema.During the medium follow-up of 12(6～ 18 )months,serum potassium levels of all patients were normal,and 3 patients with high blood pressure still need hypotensive drug.Conclusion Laparoscopic resection of the whole or partial adrenal tumor is minimally invasive,safe and with confirmed effects,making it the preferred method for PA.