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
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
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
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
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
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
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
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
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
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
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
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 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
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