LAPAROSCOPIC ADRENALECTOMY IN CONN'S SYNDROME

AUTHORS:
H. Markogiannakis (Athens, Greece) , A.S. Zambopoulou (Athens, Greece) , T. Hatzitheodorou (Athens, Greece) , A. Hatzicharalambous (Athens, Greece) , M. Kalamatianou (Athens, Greece) , N. Intzes (Athens, Greece) , E. Kitsou (Athens, Greece) , I. Manouras (Athens, Greece) , D. Theodorou (Athens, Greece)
Background:
Our objective was the analysis of laparoscopic adrenalectomy results in patients with Conn's syndrome.
Methods:
Prospective study of all laparoscopic adrenalectomies for Conn's syndrome in our department from 2010 to 2022.
Results:
Among 179 adrenalectomies, 17 (9.5%) had Conn's syndrome and composed our study group (mean age: 47.5±4.6 years, female: 64.7%). Two cases (11.7%) underwent subtotal and 15 (88.3%) total unilateral adrenalectomy. Nine tumors (52.9%) were left and 8 (47.1%) were right. Mean tumor diameter was 2.5±0.4 cm (range: 1.4-4 cm). Operative time was 85±7.3 min. Conversion to open surgery was required in one case (5.9%) due to bleeding. No other intraoperative or postoperative complication was noted. Mean postoperative hospital stay was 2±0.3 days (range: 1-5 days). During the short follow-up period (mean value: 9±0.8 years) one case (5,9%) has presented with disease recurrence.
Conclusions:
Laparoscopic adrenalectomy in Conn's syndrome is safe and effective.