Publication: Anesthesia and laparoscopic adrenalectomy for primary aldosteronism
Issued Date
2001-06-01
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ISSN
01252208
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2-s2.0-14344273265
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.84, No.6 (2001), 798-803
Suggested Citation
Narong Lertakyamanee, Jariya Lertakyamanee, Pradit Somprakit, Thanyadej Nimmanwudipong, Peera Buranakljaroen, Sutin Sriussadaporn Anesthesia and laparoscopic adrenalectomy for primary aldosteronism. Journal of the Medical Association of Thailand. Vol.84, No.6 (2001), 798-803. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/26770
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Title
Anesthesia and laparoscopic adrenalectomy for primary aldosteronism
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Abstract
Adrenalectomy 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/l respectively. Before operation, after treatment with spinorolactone, they were 4.3 and 24.4 mEq/l respectively. Associated diseases and cardiovascular abnormalities were reported. General anesthesia was the anesthetic 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 cm (range 1-3). There was no morbidity or mortality. All patients were discharged on the third postoperative day.