To investigate the incidence and risk of acute Cerebral infarction after laparoscopic adrenalectomy of the patient with primary aldosteronism.

A retrospective analysis was performed on the patients with primary aldosteronism underwent laparoscopic adrenalectomy in our hospital during Jan.2009 to Jun.2016.

The clinical data of 151 patients suffered with primary aldosteronism underwent laparoscopic adrenalectomy in our department were reviewed, aging from 25- 77 years and (52 ± 12)years in average. All of the 151 cases of patients, 149 cases of patients combined with hypertension, 26 cases of patients combined with coronary disease, 34 cases of patients combined with diabetes and 11 cases of patients suffered from cerebral infarction at previous time. There are three patients suffered from acute cerebral infarction after laparoscopic adrenalectomy at 1- 3 months. All of the three patients combined with hypertension and cerebral infarction history.

The patients have a probability to suffer from acute cerebral infarction after laparoscopic adrenalectomy due to the fluctuation of blood pressure, but the risk is relatively low. The patients with the high risk of cerebral infarction should enhance the postoperative management.