KẾT QUẢ PHẪU THUẬT NỘI SOI SAU PHÚC MẠC ĐIỀU TRỊ HỘI CHỨNG CONN DO U TUYẾN THƯỢNG THẬN

Abstract

Introduction: Evaluation of the outcomes of retroperitoneoscopic adrenalectomy in Conn’s syndrome caused by adreanal adenomas. Method: We retrospectively reviewed the results of 88 patients with Conn’s syndrome were operated on endoscopically between January 2018 and June 2022 in Viet Duc hospital and Medical University Hospital. The results was assessed by blood test and image after surgery. Result: Mean age was 44,01 ± 11,18 years old, the oldest was 69 years old and the youngest was 24 years old, femal/male ratio is 2,82. 95,4% of patients had clinical hypertension. In term of imaging, 91,3% have hypoechoic images on ultrasound, 89,9% have images with tumor grade ≤ 25 HU on computed tomography. The mean operative time was 58,8 ± 16,7 minutes, the mean postoperative time was 3,9 ± 1,6 days, no patient die and open surgery was 0 %/ 100% of the patients had normal potassium test and no tumor on ultrasound, improved symptoms of hypertension in 86,6% of patients, very satisfied patients after surgery reached 87,8%. Conclusion: Retroperitoneal laparoscopic surgery for treatment of Conn’s syndrome due to adrenal adenoma is a safe surgical method with short postoperative period, high aesthetics and good results in sieving as well as quality of life patients.