Left Laparoscopic Transperitoneal Adrenalectomy for Aldosteronoma
Richard Hodin, MD
Massachusetts General Hospital

Unilateral aldosteronoma is best managed by adrenalectomy, with the laparoscopic approach being the preferred method. This is the case of a 48-year-old woman who had long-standing hypertension and hypokalemia and was found to have hyperaldosteronism and low renin levels. A CT scan showed a small mass in the left adrenal gland, and adrenal vein sampling showed higher levels of aldosterone on the left side than on the right, confirming a unilateral aldosteronoma.

Laparoscopic access was gained, the adrenal gland was exposed and dissected by controlling the periadrenal tissues with the harmonic scalpel, the adrenal vein was then ligated, and the adrenal gland was removed.