Thoracoscopic Treatment of Spontaneous Pneumothorax
Objective: Prospective study to evaluate thoracoscopic treatment of spontaneous pneumothorax by bulla resection with pleurectomy or with pleura coagulation.Patients: From 1991 to 2007, 255 patients were included in this study. Indications were persistent bubbling (45.3%), recurrence (42.9%), opposite side pleurectomy (11.4%), opposite side pneumothorax (5.5%), haemopneumothorax (2.3%), bands (3.2%), huge bulla (2.7%), double sided pneumothorax… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Thoracoscopic Enucleation of an Esophageal Gastrointestinal Stromal Tumor
Introduction: Symptomatic gastrointestinal stromal tumors of the esophagus present a technical challenge with regards to their safe removal. Located within the muscularis propria, these tumors are not typically amenable to endoscopic resection. We describe the technique of thoracoscopic enucleation in a patient with a 3 cm esophageal gastrointestinal stromal tumor located in the middle esophagus.… Continue Reading
- Topic:
- Thoracoscopy
Single-Port Video Assisted Thoracoscopy – Experience in a Community Teaching Hospital
SINGLE-PORT VIDEO ASSISTED THORACOSCOPY: EXPERIENCE IN A COMMUNITY TEACHING HOSPITALMatthew Campbell MD, Steven Reitz MD, Aaron Kulwicki MD, Dennis Tishko MD, David S. McCready MS. Mount Carmel Medical Center, Columbus, OhioBackground:Single-port video-assisted thoracoscopic surgery (sVATS) is an alternative to conventional three-port thoracoscopy. Published reports in the literature have primarily consisted of small series from university… Continue Reading
- Type:
- Posters
- Topic:
- Thoracoscopy
Compensatory Sweating After Thoroscopic Sympathectomy- Outcome Study
Excessive sweating is a problem that affects 0.6% of the population. It is most prevalent in young adults. Since 1985 bilateral thoroscopic sympathectomy (ETS) has been available, being performed as an outpatient with minimal side effects. It is 98% effective in controlling hand sweating, but has a higher failure rate with severe compensatory sweating (CS)… Continue Reading
- Type:
- Posters
- Topic:
- Thoracoscopy
Role of Early Thorocascopy in the Penetrating Wounds of the Chest
Non life-threatening penetrating wounds of the thorax(PCW) can be treated by tube thoracostomy(TT)alone, but incomplete removal of clots can delay recovery and lead to the development of empyema. We hypothesized that use of early thoracoscopy (TS), within 48 hours, will reduce empyema and missed diaphragmatic injuries(DI).Method: We performed a retrospective chart review of 82 stable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Impact of Right Nephrectomy on Outcomes of Renal Function and Complications in Retroperitoneoscopic Live Donor Nephrectomy: A Single-center Experience
BACKGROUND AND OBJECTIVE: Since 2001, we have been trying to establish the technique of retroperitoneoscopic live donor nephrectomy (RPLDN). In general, the left kidney from a living donor is preferred for renal transplantation because of its longer renal vein. However, not all potential donors have a right kidney which is anatomically and functionally conducive to… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine
Is Right Laparoscopic Donor Nephrectomy Right?
Introduction: Laparoscopic donor nephrectomy has become the standard of care in most renal transplant centres. Many centers are reluctant to perform right laparoscopic donor nephrectomies primarily due to concerns about transplanting a kidney with a short renal vein.Methods & Procedures: A retrospective review of 25 right and 24 left consecutive donor nephrectomies and their recipients… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Splenectomy for Splenomegaly:Long Term Follow up of 61 patients
Background: Numerous studies have demonstrated the feasibility of laparoscopic splenectomy(LS) for splenomegaly. There is little published data on the efficacy of LS for the treatment of splenomegaly associated cytopenias. The aim of this study is to determine long-term outcomes following LS for splenomegaly. Methods: Retrospective review of patients undergoing LS between 8/95 and 5/05. Splenomegaly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Laparoscopic Splenectomy for Wandering Spleen: Enhancing Outcomes with Smart Imaging Technologies
Wandering Spleen is characterized by laxity or absence of the normal ligamentus attachments to the spleen. The sole attachment tends to be the vascular pedicle to the splenic hilum. Often discovered in childhood, it can also be detected in young adults. It is a rare condition with less than 500 cases reported in the world… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Splenectomy for hematologic disease comparison of laparoscopic versus open technique
Background. This study aimed to compare the safety, efficacy and clinical benefits of laparoscopic splenectomy (LS) to open splenectomy (OS) in patients with hematologic disorders .Methods. Experimental design: prospective study ; setting : II Department of Surgery Reggio Emilia and III Departement of Surgery Pescara; Patients : 141 consecutive adult patients underwent splenectomy; 78 patients… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Diagnosis of Malignant vs. Benign Disease as an Accurate Predictor of Outcome After Laparoscopic Splenectomy
Introduction: The aim of this study is to determine if a diagnosis of malignant vs. benign disease is an accurate predictor of patient outcome after laparoscopic splenectomy (LS). Methods: A comprehensive retrospective chart review of all patients undergoing LS from April 1994 through August 2007 was conducted. Statistical methods used included Fisher’s Exact Test, Student’s… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine
Splenectomy for ITP: A 10 Year Review
Background: Laparoscopic splenectomy (LS) has been established as a safe and effective alternative to open splenectomy (OS) for the treatment of Idiopathic Thrombocytopenic Purpura (ITP). The purpose of this study was to review our teaching institution’s experience with splenectomy for ITP. Methods: Between 1996 and 2005 a total of 35 consecutive splenectomies were performed for… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Splenectomy for Hematologic Disease: A 10 Year Review
Background: Laparoscopic splenectomy (LS) has been established as a safe and effective alternative to open splenectomy (OS) for the treatment of appropriate patients with hematologic disease. The purpose of this study was to review our teaching institution’s experience with splenectomy for hematologic disease. Methods: Between 1996 and 2005 a total of 101 consecutive splenectomies were… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Resection of Giant Adrenal Tumors
Traditionally, large adrenal tumors have been considered relative contraindications to laparoscopic adrenalectomy. However, with increasing experience with laparoscopic techniques, even giant tumors can be resected in a minimally invasive manner. We present two cases of laparoscopic adrenalectomy of giant adrenal tumors. The first case involves a 42 year old female with flank pain. Imaging revealed… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic left donor nephrectomy without mobilization of the spleen
Traditional descriptions of laparoscopic transperitoneal left adrenalectomy and nephrectomy include complete division of the splenorenal ligament. The spleen is reflected toward the midline with the tail of the pancreas to expose the origin of the renal pedicle and adrenal gland. Yet despite aggressive mobilization of the upper pole of the spleen as far cephalad as… Continue Reading
- Topic:
- Solid Organ and Endocrine