Cortical sparing laparoscopic adrenalectomy in a patient with Conns syndrome
Fahri Yetişir1, A. Ebru Salman2, Alper Özkardeş1, Mehmet Tokaç1, Burak Çiftçi1, Mehmet Kılıç1
1Clinic of General Surgery, Ministry of Health Ankara Atatürk Training Hospital, Ankara, Turkey
2Clinic of Anesthesiology, Ministry of Health Ankara Atatürk Training Hospital, Ankara, Turkey
Conns syndrome, an aldosterone producing adenoma, is a surgically curable cause of primary aldosteronism, classically treated by unilateral adrenalectomy. With the advent of laparoscopic surgery in recent decades, laparoscopic adrenalectomy is currently advocated as the gold standard for the treatment of Conns syndrome. Cortical sparing adrenalectomy is an especially ideal operation for patients with bilateral pheochromocytoma. This case report describes a successful laparoscopic adrenal cortex sparing surgical and anaesthetic approach for a patient with Conns syndrome on whom right surrenalectomy had been performed previously. Laparoscopic surgery without dividing the central adrenal vein can also be performed successfully in patients with Conns syndrome.
Keywords: Laparoscopy, adrenal gland, Conns syndrome
Study concept and design - F.Y., A.E.S.; Acquisition of data - F.Y., A.Ö., M.T., B.Ç., M.K.; Analysis and interpretation of data - F.Y., A.E.S., M.K.; Preparation of the manuscript - F.Y., A.E.S.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.