Hybrid Minilaparoscopic Approach for the Treatment of Primary Hiperaldosteronism: Report of Two Cases

We report the cases of two patients, one 26 years-old male, and the other 43 years-old female, who had a history of high blood pressure and hypokalemia. The male also presented progressive tetraparesis six months before diagnosis. The female patient was diagnosed with systemic lupus erythematosus and Sjögren's syndrome. After investigation, using ultrasonography and abdominal computed tomography, both patients presented hypodense and solid nodular lesions in the adrenal gland, compatible with adenoma. The surgical team opted for a hybrid minimally invasive approach. Providing a better visualization of the surgical field, less abdominal trauma, and greater technical dexterity, the use of minilaparoscopic instruments proved to be a safe and effective approach for these patients. After the surgeries, the patients presented a better control of blood pressure and electrolytes, being discharged early in good clinical conditions.
Source: Current Medicine Research and Practice - Category: General Medicine Source Type: research