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
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 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
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
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
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
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
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
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