Retroperitoneal laparoscopic management of primary aldosteronism with report of 130 cases / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1093-1095, 2004.
Article
in Chinese
| WPRIM
| ID: wpr-360924
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate retroperitoneal laparoscopic partial or total adrenalectomy for primary aldosteronism.</p><p><b>METHODS</b>From February 2000 to September 2003, 130 patients (76 women and 54 men) with a confirmed diagnosis of primary aldosteronism underwent retroperitoneal laparoscopic operation. Of the 130 cases, there were 119 cases with Aldosterone-producing Adenoma and 11 cases with Idiopathic Adrenal Hyperplasia (unilateral of 2 cases). Eleven cases with Idiopathic Adrenal Hyperplasia underwent unilateral adrenalectomy. Of the 119 cases with Aldosterone-producing Adenoma, 61 cases underwent total adrenalectomy, and 58 cases underwent partial adrenalectomy. All cases were with preoperatively high plasma aldosterone, low plasma rennin and hypokalemia and arterial hypertension.</p><p><b>RESULTS</b>Operations were successfully performed in all cases. The operative time ranged from 15 to 225 min (mean 52 +/- 40 min, Md = 43 min) and the operative bleeding ranged from 0 to 200 ml (mean 23 +/- 34 ml, Md = 20 ml, zero bleeding means that less than 5 ml) without blood transfusion. The hospital length of stay was ranged from 3 to 9 d (mean 5.1 +/- 1.3 d). No major complication occurred. Kalemia was normalized within one month and aldosterone/PRA ratio was decreased obviously in all cases. Postoperatively blood pressure was normalized within 2 month in 88 cases without using any drug.</p><p><b>CONCLUSION</b>It is safe and practical to perform retroperitoneal laparoscopic partial on total adrenalectomy on the patients with primary aldosteronism.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retroperitoneal Space
/
General Surgery
/
Follow-Up Studies
/
Laparoscopy
/
Adrenalectomy
/
Hyperaldosteronism
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2004
Type:
Article
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