Laparoscopic adrenalectomy in patients with primary aldosteronism.

Advances in laparoscopic surgery have changed our approach to many surgical problems. We describe a technique of laparoscopic adrenalectomy in patients with primary aldosteronism using an anterior transabdominal approach. The left adrenal gland was approached through the root of the transverse mesocolon, the right adrenal gland through the subhepatic space. The patients were discharged within 24 to 48 h with normal blood pressure after discontinuation of antihypertensive medication. This technique is safe and allows the patient to return to normal activity sooner than with conventional surgery.