Minimally-invasive Adrenalectomy: A Comparison of Surgical Approaches and Patient Outcomes
Background: Laparoscopic transabdominal adrenalectomy (LTA) is the most common procedure for the surgical treatment of adrenal tumors. Although the retroperitoneoscopic adrenalectomy (RPA) is becoming more common, few studies have examined the safety and outcomes of both procedures.Objective: To compare the safety and surgical outcomes between LTA and RPA.Methods: Retrospective review of 142 patients undergoing laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Efficacy of Hand-Assisted Laparoscopic Splenectomy for Portal Hypertension Patients with Thrombocytopenia
Peg-interferon and ribavirine therapy is promising for hepatitis C virus positive patients; however thrombocytopenia as its adverse event limits the treatment. We perform hand-assisted laparoscopic (HALS) splenectomy tonincrease the thorombocyte before interferon treatment for patients with thrombocytopenia.From March, 2006 to August 2008, we performed HALS splenectomy in 26 patients. 5 cases underwent Hassab operation. An… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Use of Flexible Retractor to Facilitate Vascular Length in Living Related Total Laparoscopic Donor Nephrectomies
Background Minimally invasive Laparoscopic Donor Nephrectomy (LDN) is the gold standard procedure for donor nephrectomy. Various techniques of donor neprectomy have been described and the utility of any one technique depends upon the skill of the surgeon. Donor vascular length facilitates adequate recipient anastomosis and prevents technical difficulties associated with short vessels. Our preference has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Management of Post Gastric Bypass Noninsulinoma Pancreatogenous Hypoglycemia (nesidioblastosis)
Introduction: Post gastric bypass hyperinsulinemic hypoglycemia defines a group of patients with postprandial neuroglycopenic symptoms similar to insulinoma but in many cases more severe. There are few reports of patients with this condition. The primary surgical therapy is distal or subtotal pancreatectomy. Here we describe our surgical experience for the management of this rare condition.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Outpatient Laparoscopic Hysterectomy with Same Day Discharge, a Case Series
Study Objective: To Assess the feasibility of performing Laparosopic Hysterectomy in an Ambulatoy Surgery Center with Same Day Discharge to Home. Design: Case Series (Canadian Task Force Classification II-3) Setting: The Pearl Women's Center, Portland, OR, USAPrivate, Physician Owned, Freestanding Ambulatory Surgery Facility Patients: 250 Consecutive Patients 2005-2008 Results: 250 consecutive hysterectomy patients are presented… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Distal Pancreatectomy with Spleen Preservation
Spleen sparing distal pancreatectomy is usually performed for small or benign looking tumors of the body and tail of the pancreas. Such tumors include neuroendocrine pancreatic tumors, intraductal papillary mucinous neoplasm and other cystic lesions.The procedure of distal pancreatectomy with spleen preservation may be challenging and technically difficult when performed in the open fashion, let… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Management of Large Adrenal Tumors
Background: Laparoscopic Adrenalectomy (LA) is the gold standard approach for small sized adrenal tumors.Tumors larger than 6 cm harbor an increased risk of malignancy, and the oncological adequacy of the LA in these cases was not proven.In addition, the technical challenge, and hence the safety of the LA in large adrenal masses is questionable.Hypothesis: LA… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Radiofrequency Ablation of Adrenal Tumors
Background: Despite reports of percutaneous radiofrequency ablation (RFA), laparoscopic ablative techniques have not been described to treat adrenal tumors. The aim of this study is to describe patient selection criteria and the technique for laparoscopic adrenal RFA. Methods: Four patients underwent laparoscopic RFA of adrenal tumors under general anesthesia for adrenal tumors. Procedures were performed… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Hand Assisted Laparoscopic Splenectomy Is the Superior Approach in Spleens Over 20cm in Length
IntroductionWe report our experience with the Hand Assisted Laparoscopic Splenectomy (HALS) technique and attempt to answer the question of which spleens benefit from HALS. Initial problems with complication rates in laparoscopic splenectomy for splenomegaly have now been refuted. Critics are still concerned with the longer operative times and conversion rates of HALS compared to open… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Immediate Outcome Afte 350 Laparoscopic Splenectomies (ls). A Single Team 15 Years Experience
Laparoscopy has become the gold standard approach for LS. It relative infrequency impairs the obtention of definitive or evidence based data. LS outcome would differ according the hematological diagnosis, and the size of the spleen is considered a critical factor related to the outcome. Aim: To asses the impact of primary diagnosis (benign/malignant) or spleen… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Hand-Assisted Laparoscopic Splenectomy Compared to Conventional Laparoscopic Splenectomy
Objective: Laparoscopic splenectomy (LS) has several advantages compared to the open technique. Splenomegaly poses several technical hurdles for the performance of splenectomy laparoscopically. With the introduction of hand-assisted laparoscopic splenectomy (HALS), the application of laparoscopic splenectomy has broadened to include cases of massive splenomegaly. We hypothesize patients who undergo HALS may enjoy the benefits of… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Hospital Experience, Body Image, and Cosmesis After Laparoscopic or Open Splenectomy
Introduction: We aimed to assess the hospital experience and body image - cosmesis after laparoscopic or open conventional splenectomy.Methods and procedures: Patients who underwent splenectomy were invited to fill out the questionnaires evaluating hospital experience, body image and cosmetic results. Student’s t-test, paired samples t-test and ki-square test were used for statistical analaysis.Results: A total… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Posterior Retroperitoneoscopic Adrenalectomy in Large Adrenal Tumors: A Comparison to the Standard Anterior Laparoscopic Technique
Background: Posterior retroperitoneoscopic adrenalectomy comprises an alternative option in minimally invasive adrenal surgery. Since the main contraindication to the retroperitoneal access seems to be the presence of a large tumor mass, we prospectively compared the posterior endoscopic technique to the laparoscopic in a case-controlled setting.Patients: From May 2008 to September 2008 eleven patients with large… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Laparoscopic Distal Pancreatectomy and Splenectomy for Splenic Artery Aneurysm
Introduction: Large splenic artery aneurysms are rare, but comprise 60% of all visceral artery aneurysms. Most are found incidentally and rupture in the non-pregnant patient carries an approximate 25% mortality rate. Historically these have been managed with an open surgical approach for resection.Methods: We present the case of a 45 year old male with a… Continue Reading
- Topic:
- Solid Organ and Endocrine
Bilateral Laparoscopic Transperitoneal Adrenalectomy
Objectives: We report our experience with bilateral laparoscopic transperitoneal adrenalectomy, and evaluate the safety and efficacy of laparoscopic approach for bilateral adrenal disorders.Pateints and methods: Between March 1998 and January 2008, we performed laparoscopic adrenalectomies in 41 patients. Of these, 4 consecutive patients (9.8%) with bilateral adrenal diseases (pheochromocytoma in 3 and Cushing syndrome in… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine