RIGHT LAPAROSCOPIC ADRENALECTOMY FOR CONN`S SYNDROME

espanolAntecedentes: Los adenomas suprarrenales son tumores benignos que pueden tener o no hiperactividad. Caso clinico: Mujer de 52 anos con antecedente de HTA de 4 anos de evolucion con mal control a pesar de medicacion en los ultimos 2 meses. El TC evidencio una masa a nivel suprarrenal derecho. Analiticamente se constato niveles elevados de Aldosterona que sugieren diagnostico de hiperaldosteronismo primario. Ante esta sospecha se realizo una suprarrenalectomia derecha laparoscopica. Conclusion: El sindroma de Conn es una causa de HTA secundaria debida a una produccion excesiva de aldosterona. En caso de hiperaldosteronismo primario la cirugia supone una posibilidad de control de la HTA con medicacion cercana al 100% y de curacion del 30-60%. El acceso laparoscopico es la via de eleccion. PALABRAS CLAVE: Hiperaldosteronismo primario, Sindroma de Conn, suprarrenalectomia. Video completo EnglishFull video Background: Adrenal adenomas are benign tumors that may have hiperactivity. Clinical case: A 52-year-old female with a history of hypertension with poor control despite medication in the last 2 months. The CT scan showed a right adrenal mass. High levels of aldosterone were found on blood analisis. Given this suspicion, a right laparoscopic adrenalectomy was performed. Conclusion: Conn`s Syndrome is cause of secondary arterial hypertension due to excessive production of aldosterone. In the case of primary hyperaldosteronism, surgery implies a possibility near 100% of controlling hypertension with medication and a possibility of cure of between 30-60%. Laparoscopic acces is the gold standard. KEY WORDS: Primary hyperaldosteronism, Conn`s Syndrome, adrenalectomy. https://www.youtube.com/watch?v=sEth3IghVcw