Posterior Retroperitoneoscopic Partial Adrenalectomy Using Ultrasonic Scalpel for Aldosterone-Producing Adenoma

Abstract

Posterior retroperitoneoscopic partial adrenalectomy using the ultrasonic scalpel may be a valuable treatment for typical solitary APA.

Adrenal-preserving minimally invasive surgery: The role of laparoscopic partial adrenalectomy, cryosurgery, and radiofrequency ablation of the adrenal gland

“…Eight patients were normotensive and the other two required less antihypertensive medication on follow-up. This report [15] confirmed that retroperitoneal LPA is a valuable alternative to the transperitoneal approach in the treatment of the solitary APA.…”

“…In another study, Sasagawa et al [15] performed posterior retroperitoneal LPA on 10 patients. The mean blood loss was minimal, and although subcutaneous emphysema occurred in three patients there were no serious operative complications.…”

Laparoscopic adrenal-sparing surgery for primary hyperaldosteronism due to aldosterone-producing adenoma

“…Adrenal-sparing surgery using the posterior retroperitoneoscopic approach has also been reported [19,25]. In the series reported by Walz et al [25], 11 of the 22 cases operated on were for primary hyperaldosteronism.…”

“…All the patients were cured at a mean follow-up of 11 months. In another series, Sasagawa et al [19] reported 10 patients with aldosterone-producing adenomas who underwent posterior retroperitoneoscopic partial adrenalectomy. The adenomas were dissected using the ultrasonic scalpel with no serious operative complications.…”

Persistenz eines primären Hyperaldosteronismus nach subtotaler Adrenalektomie

“…Weitere Autoren berichteten bei kleineren Fallzahlen von ähnlichen Opertionstechniken und übereinstimmend von der postoperativen Normotension und Normokaliämie der Patienten bei keinem Rezidiv bzw. Persistenz des Hyperaldosteronismus [1,10,11,12,18].…”