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
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
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
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 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
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
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
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
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
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
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
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
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