Laparoscopic adrenalectomy for Conn's syndrome: report of the initial six cases.

We report our experience with the initial six cases of transperitoneal laparoscopic adrenalectomy for primary hyperaldosteronism (Conn's syndrome). This is the first report from India of such a series. From 1997 to 2002, 6 patients with primary hyperaldosteronism (Conn's syndrome) were referred to the Department of Endocrine Surgery and underwent laparoscopic adrenalectomy through the transperitoneal approach. In all patients, the adrenal gland and the adenoma were successfully removed laparoscopically, and all patients were normokalemic and normotensive in the first follow-up after 6 months. Laparoscopic adrenalectomy is a feasible option in cases of hyperaldosteronism. In our series, both hypertension and hypokalemia improved in all