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
Two for One: A Crh and Acth Secreting Pheochromocytoma
Introduction: This is a unique case of a pheochromocytoma secreting both ACTH and CRH. Pheochromocytomas secreting either CRH or ACTH have been reported in the literature and are a rare cause of Cushing’s syndrome. To date, there are no reports of a pheochromocytoma producing both hormones. Background: A 38-yr-old previously healthy female presented with a… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Versus Open Splenectomy for Hematologic Diseases – A 10-year, Single-center Experience
INTRODUCTION: Although laparoscopic splenectomy (LS) has become widely accepted as the approach of choice for the surgical treatment of hematologic diseases, some areas still remain controversial. We present a 10-year, single institution experience with splenectomy for non-traumatic diseases to evaluate the safety and feasibility of laparoscopic versus open (OS) technique.METHODS: A retrospective review of 286… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Open or Laparoscopic Resection of Paraganglioma? a Comparison to Adrenal Pheochromocytoma in the Laparoscopic Era
Introduction: Laparoscopic adrenalectomy (LA) has become the standard for removal of most adrenal pheochromocytomas (pheos). However, laparoscopic (LAP) resection of extra-adrenal pheos or paragangliomas has been reported only anecdotally. This study investigates the results of resection of paragangliomas in the laparoscopic era.Methods: A retrospective record review of all patients who underwent resection of intra-abdominal paragangliomas… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Adrenalectomy for Primary Hyperaldosteronsim: Comparison of Clinical Response Based on Adrenal Pathology
Introduction: Primary hyperaldosteronism may be caused by adrenal hyperplasia (nodular [NH] or diffuse [DH]) or functional adenoma [FA]. We compare response of hypertension and hypokalemia for both pathologies following laparoscopic adrenalectomy. Methods: All adrenalectomies performed for hyperaldosteronsim at a single institution were retrospectively reviewed. Hypertension / hypokalemia were considered improved in patients with reduction in… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine
Should Hand Assistance Be Used for Mid-sized Spleens?
Introduction: Laparoscopic splenectomy has been shown to offer several advantages over open splenectomy, and has become a standard for splenectomy. Hand-assisted laparoscopic splenectomy has been studied in splenomegaly greater than 17cm and has been found to be safe and efficacious.Aim: To evaluate the use of hand-assistance in laparoscopic splenectomies from 12 to 17cm.Methods: After IRB… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Adrenalectomy – Indications and Results
Laparoscopic adrenalectomy (LA) as a method of treatment of adrenal pathology confirmed its efficiency and safety. The aim of the study is to present our possibility and results in adrenal surgery.Material and method: From 29.10.1997 to 31.07.2008 we performed 440 LA in 428 patients. The mean size of tumor was 41,3 mm (from 7 to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Laparoscopic Splenectomy in Hematologic Malignancies
Aims: Although laparoscopic splenectomy (LS) for benign hematologic disease is well accepted, its role in the treatment of haematological malignancies is still controversial. The aim of this study is to compare efficacy and feasibility of LS for hematologic malignancies and patients outcome with benign disease patients wgo underwent thesame procedure.Methods: Between January 2001 and December… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Minimaly Invasive Adrenalectomy: Our Experience in 40 Patients.
INTRODUCTION–Due to its retroperitoneal anatomy, minimally invasive adrenal surgery is considered the procedure of choice for benign adrenal tumors. Because of potential hemorrhage, surgeons performing these operations should be experts in the field but, being an infrequent procedure, it is difficult to gain expertise and to master the procedure.METHODS AND PROCEDURES–. We included all patients… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
A Case of Anomalous Systemic Arterial Supply to Normal Basal Segment of the Left Lower Lobe
A 45-years-old male was referred to another hospital because of hemoptysis. Chest 3D-CT showed an aberrant artery arising from the thoracic aorta and supplying the left basal segment and return to normal left lung vein, the bronchial tree was normal. Based on these findings, we diagnosed this case as having an anomalous systemic arterial supply… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Short-stay Laparoscopic Radical Nephrectomy in a Community Hospital Setting
Introduction and Objective: Laparoscopic nephrectomy has become the standard of care in the academic and community setting alike. Few studies address the length-of -stay in the community setting. We describe the initial experience of a board certified general surgeon performing laparoscopic nephrectomy on a short-stay (24-hour) basis with a board certified urologist. Materials and Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
From Start to Finish: 117 Consecutive Laparoscopic Adrenalectomies
Introduction: Laparoscopic adrenalectomy has quickly replaced open adrenalectomy as the procedure of choice. The purpose of this study is to describe a single institution experience with laparoscopic adrenalectomy over a 12 year period.Methods: Retrospective chart review was done for all patients who underwent laparoscopic adrenalectomy between 1996 and 2008. Patient preoperative, intraoperative and postoperative data… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Different Approaches for Laparoscopic Adrenalectomy Looking for a Tailored Route
Aim: to report our experience in laparoscopic adrenalectomy (LA) through anterior, lateral and submesocolic approaches .Methods: 267 patients (pts) underwent LA in our departments. The choice of the surgical route was based on patient (BMI, previous abdominal surgery) and lesion features (size, side, secreting mass, suspect malignancy). Dissection and coagulating technology did change over the… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine
Hand Assisted Laparoscopic Surgery for Massive Splenomegaly
The patient is a 57 yo male with history of chronic lymphocytic leukemia for fifteen years and splenomegaly. Patient had a palpable spleen below the level of the umbilicus. His preoperative white blood cell count was 46000 and lymphocyte count was 40000. A Hand port was placed in the upper midline. The patient was in… Continue Reading
- Topic:
- Solid Organ and Endocrine
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