Anesthesia and Laparoscopic Adrenalectomy for Primary Aldosteronism
NARONG LERTAKY AMANEE, M.D., F.R.C.S. (GLAS), M.P.H.*, JARIYA LERTAKY AMANEE, M.D., F.R.C.A., M.P.H.**,
PRADIT SOMPRAKIT, M.D., F.R.C.A., M.Sc. **, THANYADEJ NIMMANWUDIPONG, M.D., F.R.C.S.T.*,
PEERA BURANAKUAROEN, M.D.***, SUTIN SRIUSSADAPORN, M.D.***
Affiliation : * Department of Surgery,
** Department of Anesthesiology,
*** Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
AbstractAdrenalectomy is the curative treatment of primary aldosteronism or Conn's syndrome.
Laparoscopic adrenalectomy, a new method, should result in less pain and shorter hospitalization.
We reported 25 patients who received anesthesia and laparoscopic adrenalectomy from 1995-
1999. There were 17 females and 8 males. The mean age was 41.9 years (range 25-59). Ninety-six
per cent had hypertension, 76 per cent had weakness of the extremities. When these patients
sought medical care, their serum potassium and bicarbonate were 2.4 and 30.9 mEq/1 respectively.
Before operation, after treatment with spinorolactone, they were 4.3 and 24.4 mEq/1 respectively. Asso
ciated diseases and cardiovascular abnormalities were reported. General anesthesia was the anes
thetic technique of choice. Laparoscopic adrenalectomy was described in detail. Sixteen patients
had adenomas on the left adrenal gland, 9 were on the right. Twenty-four patients had unilateral
adrenalectomy, one had enucleation of the tumor. The size of the adenoma was 1.8 em (range
1-3). There was no morbidity or mortality. All patients were discharged on the third postopera
tive day.
Keywords : Laparoscopic Adrenalectomy, Primary Aldosteronism
All Articles
Download
