Outcome of patients undergoing laparoscopic adrenalectomy for primary hyperaldosteronism.

摘要: Objectives: To study the long-term outcome of patients with primary hyperaldosteronism who underwent laparoscopic adrenalectomy and to determine preoperative predictive factors persistent hypertension. Methods: Between 1996 2002, 47 transperitoneal at our institution. Their clinical biochemical parameters were reviewed retrospectively, 46 complete follow-up notes determined. Results: The comprised 16 male 30 female a mean age 45.6 years (range, 18 63 years). Almost all had hypertension hypokalemia presentation, requiring medication. average operating time was 127 minutes 70 240 min), postoperative stay 2.6 days 1 5 days). No mortalities occurred, perioperative morbidity minimal. Forty-two (91%) adrenal cortical adenoma (including both hyperplasia), 4 (9%) hyperplasia on histology. 21 months 60 months), end follow-up, normal serum potassium levels without supplements. Twenty-three (50%) cured hypertension, 13 (28%) better control their as evidenced by decrease in number antihypertensive medications used. On multivariate analysis, patient surgery shown be an independent factor after successful surgery. Conclusion: Laparoscopic is safe effective way treat hyperaldosteronism, especially controlling management risk