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
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 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
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
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
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 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 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
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
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
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
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
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