Laparoendoscopic single-site adrenalectomy in patients with primary hyperaldosteronism: A prospective study with long-term follow up
Ya-Hui Hu, Ya-Hui Hu
Che-Hsiung Wu, Che-Hsiung Wu
Leay-Kiaw Er, Leay-Kiaw Er
Da Lin, Chia
Ying-Buh Liu, Ying-Buh Liu
Shih-Chieh Chueh, Shih-Chieh Chueh
Yao-Chou Tsai, Yao-Chou Tsai
- Publisher: Elsevier BV
adrenalectomy | primary aldosteronism | RD1-811 | laparoendoscopic single-site surgery | Surgery
Objective: Laparoendoscopic single-site (LESS) adrenalectomy is a promising minimally invasive technique, however, the current evidence has not confirmed its long-term effectiveness in primary aldosteronism (PA). We conducted a study to analyze the long-term efficacy of LESS adrenalectomy in patients with PA.
Methods: A total of 49 patients who had been clinically confirmed with PA who had an indication for unilateral adrenalectomy were included in this study. Perioperative data were obtained for all patients. Blood pressure and the levels of serum aldosterone, renin, and potassium were checked periodically. The median follow-up was 16.5 months.
Results: No intra- or early post-operative complication occurred. All LESS adrenalectomies were completed successfully, except one with laparoscopic conversion. Hypokalemia was resolved in all cases and no patient required potassium supplements after surgery. Post-operative cure of hypertension was achieved in 63% of our patients. Overall, 84% of our PA patients had clinical improvement in blood pressure control after surgery.
Conclusions: Our long-term experience revealed that LESS adrenalectomy is a safe and effective approach, which demonstrated comparable long-term cure and improvement of hypertension to a conventional laparoscopic series in treating PA.