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- Title
Risk of New-Onset Dyslipidemia After Laparoscopic Adrenalectomy in Patients with Primary Aldosteronism.
- Authors
Kaga, Mayuko; Utsumi, Takanobu; Tanaka, Tomoaki; Kono, Takashi; Nagano, Hidekazu; Kawamura, Koji; Kamiya, Naoto; Imamoto, Takashi; Nihei, Naoki; Naya, Yukio; Suzuki, Hiroyoshi; Ichikawa, Tomohiko
- Abstract
Background: Many patients with primary aldosteronism (PA) show a significant decline in kidney function after adrenalectomy. Thus, PA patients who undergo surgery are at greater risk of both postoperative renal damage and new-onset metabolic events associated with renal insufficiency. The aim of this study was to explore postoperative changes in serum lipid levels and to identify risk factors associated with postoperative new-onset dyslipidemia in PA patients. Methods: The records of 57 Japanese patients who underwent unilateral laparoscopic adrenalectomy for PA were retrospectively surveyed. Clinical and biochemical data were evaluated at baseline and 12 months after surgery. Preoperative and postoperative estimated glomerular filtration (eGFR) and serum lipid profile, including triglycerides, high-density lipoprotein (HDL)-cholesterol and low-density lipoprotein (LDL)-cholesterol levels, were compared. Furthermore, uni- and multivariate analyses were performed to determine the predictors for postoperative new-onset dyslipidemia. Results: A significant decrease in eGFR and deterioration of serum lipid levels was identified postoperatively in most patients. Of the 39 patients without pre-existing dyslipidemia, 18 developed new-onset dyslipidemia postoperatively. Multivariate analysis identified preoperative lower eGFR and higher body mass index as independent predictors for new-onset dyslipidemia after surgery. On univariate analyses, additional factors associated with new-onset dyslipidemia included older age, male sex, higher LDL-cholesterol, and higher LDL/HDL ratio. Conclusions: PA patients had a higher risk of postoperative new-onset or progressive dyslipidemia. Clinicians should pay attention to not only follow-up of renal impairment but also total management of new-onset metabolic events associated with renal insufficiency in PA patients.
- Subjects
DYSLIPIDEMIA; HYPERALDOSTERONISM; ADRENALECTOMY; LAPAROSCOPIC surgery complications; SURGICAL complication risk factors; THERAPEUTICS; DISEASE risk factors; PREOPERATIVE risk factors
- Publication
World Journal of Surgery, 2015, Vol 39, Issue 12, p2935
- ISSN
0364-2313
- Publication type
Article
- DOI
10.1007/s00268-015-3197-z