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
Maximizing the donor pool: Use of right kidneys and multiple arteries for live donor kidney transplantation
Introduction: The first laparoscopic donor nephrectomy (LDN) was performed in 1996. Since that time, LDN is becoming standard of care for organ procurement. Donor and recipient outcomes have been proven equivocal for laparoscopic and open nephrectomy. In the past, LDN was avoided when procuring the right kidney or organs with multiple arteries. Reviewing our experience… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Laparoscopic adrenalectomy for pheochromocytoma……take the vein last?
Purpose: It is and always has been traditional to ligate the adrenal vein early during excision of a pheochromocytoma. This is done to limit catecholamine surges during intraoperative manipulation of the gland, potentially causing hemodynamic lability. This dogma, which originated from open surgery, has now been applied to the laparoscopic approach. At times, patient anatomy… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Outcomes of Adrenalectomy for Adrenal Metastasis – An Uncommon Indication for Adrenalectomy
Introduction: The role of resection of adrenal metastases (mets) in the laparoscopic (Lap) era is controversial. The purpose of this study was to review our results with adrenalectomy for mets in a series of consecutive patients.Methods: The records of all patients who underwent adrenalectomy for suspected adrenal metastasis at our institution from 1993-2007 were reviewed… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Versus Open Live Donor Nephrectomy: Outcomes Analysis in 276 Consecutive Patients
Purpose: Minimally invasive surgical techniques have become the preferred method for live donor nephrectomy (DN) in many centers. We compare the experience with laparoscopic and open DN within a single institution.Methods: Data on 276 consecutive live DN were entered prospectively (lap) or retrospectively (open) into a surgical outcomes database between 1998 and 2007. Demographic, intraoperative,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Submesocolic Anterior Approach to Laparoscopic Left Adrenalectomy
INTRODUCTION: Aim of this study is to prospectively evaluate the feasibility and safety of the submesocolic anterior approach to laparoscopic left adrenalectomy. METHODS: From January 1994 to August 2007, 297 laparoscopic adrenalectomies were performed in 287 patients (10 bilateral) in our Departments. Thirty-seven patients (16 males, 21 females, mean age 55.7 years, range 26-78 years)… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Unrecognized Adrenal Insufficiency in Patients Undergoing Laparoscopic Adrenalectomy
Introduction: There is scant data in the literature about unrecognized adrenal insufficiency (AI) in patients undergoing laparoscopic adrenalectomy (LapA). We hypothesized that postoperative day (POD) 1 AM cortisol levels could identify these patients after LapA. The aim of his study is to determine the incidence of AI after LapA and identify clinical predictors. Methods: One… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Minimal Hospital Stay and Morbidity in the Laparoscopic Treatment of Distal Pancreatic Lesions
Background: There is an increasing trend towards treating distal pancreatic lesions with minimally invasive surgical techniques in order to facilitate both a quicker recovery and fewer complications. Most studies to date have shown a median hospital stay of four to five days. Our data reveal that distal pancreatic cystic and solid tumors can be removed… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Resection of a Giant Splenic Artery Aneurysm
INTRODUCTION: Splenic artery aneurysm affects 0.1% of population. They are often an incidental radiological finding. A spontaneous rupture may be fatal. Intervention is indicated when they reach 2 cm in diameter, are symptomatic, increasing in size, in pregnant patients or in women of child-bearing age. Small splenic artery aneurysm under 4 cm could be treated… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Accessory Splenectomy: The Importance of Perioperative Localization Studies
Introduction: Laparoscopic splenectomy is an effective treatment for most patients with Idiopathic Thrombocytopenic Purpura (ITP). Patients in whom the response to treatment with splenectomy is incomplete or those who develop recurrence of symptoms should be evaluated for the presence of accessory spleen (AS). The effectiveness of laparoscopic excision of accessory spleen after previous splenectomy for… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
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
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
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
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
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