[Anesthetic management and surgical technique in treatment of primary hyperaldosteronism]

320 patients with primary hyperaldosteronism (Conn syndrome) were operated on. All patients had primary adrenal aldosteromas. Authors conclude that only about 10% of such patients require a long-term preoperative preparation with spironolactons, antihypertensive and potassium. The choice of general anesthetics and muscle relaxants does not influence the course of anesthesia, time of artificial lung ventilation and extubation. Authors emphasize that traditional and laparoscopic aldosteromectomy should not be opposed. A mini-invasive approach through the partly resected XI rib was used in 320 patients with neither postoperative major complications, nor lethality.