Laparoscopic Spleen Preserving Distal Pancreatectomy
INTRODUCTION: Distal pancreatectomy with spleen preservation may be the preferred procedure for certain benign tumors and cystic lesion of the pancreatic body or tail. Laparoscopic distal pancreatectomy with spleen preservation has been described.We describe our method of performing laparoscopic spleen preserving distal pancreatectomy . Our operative time was 2.5 hrs, total blood loss was 100cc.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Solid Organ and Endocrine
Case Report: Laparoscopic Adrenalectomy for Bilateral Metachronous Aldosteronomas
Introduction: Primary aldosteronism affects 5-13% of patients with hypertension. Idiopathic bilateral hyperplasia (IHA) and unilateral aldosterone-producing adenoma (APA) are the most common types of primary aldosteronism. Bilateral APA is a rare entity with only few reports in the literature. We describe the case of a patient with metachronous bilateral APA treated with metachronous bilateral total… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Combined Anterior and Posterior Approach for Stapless Laparoscopic Splenectomy; Towards Safe and Economic Laparoscopic Splenectomy
Background: Intraoperative bleeding is the main cause of conversion during laparoscopic splenectomy (LS). We present the advantages of implementing the combined anterior and posterior approach together with early splenic artery clipping and use of vessel sealing device to avoid the use of costy staplers. Methods:We have performed a total of 24LS in a 2-year period… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Bilateral Partial Adrenalectomy for Hereditary Pheochromocytoma
Hereditary syndromes are responsible for a small number of pheochromocytomas. These hereditary pheochromocytomas are frequently bilateral and rarely malignant. Surgical treatment remains controversial secondary to the risk of Addisonian crisis and need for lifelong corticosteroid therapy associated with bilateral total adrenalectomy. Recently it has been reported that cortical sparing bilateral adrenalectomy is safe and can… Continue Reading
- Topic:
- Solid Organ and Endocrine
Endoscopic Unroofing of a Postraumatic Splenic Cyst Through a Transumbilical Single Port Access
Laparoscopic approach is the gold standard for treatment of symptomatic splenic cysts and unroofing is the best accepted procedure . There is currently a trend to reduce the invasiveness of minimally invasive procedures. Single port access is alternative to conventional laparoscopy but no reports have yet been published in relation to splenic cysts. AIM: To… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Solid Organ and Endocrine
Single Port Access: A Feasible Alternative to Conventional Laparoscopic Splenectomy
Laparoscopic approach is the gold standard for splenectomy . There is currently a trend to reduce the invasiveness of minimally invasive procedures. Single port access is alternative to NOTES but no reports have yet been published in relation to the spleen. AIM: To describe the SAP technique for splenectomy MAT. & METH.. 2 patients were… Continue Reading
- Topic:
- Solid Organ and Endocrine
A Review of Perioperative Complications in 120 Consecutive Community Based Laparoscopic Donor Nephrectomies
TITLE: A Review of Perioperative Complications In 120 Consecutive Community Based Laparoscopic Donor Nephrectomies INTRODUCTION: Throughout the mid 1990's and early 2000's numerous university programs compared perioperative complications in laparoscopic donor to the gold standard open technique in order to validate the emerging standard of care for nephrectomies. As innovation becomes the norm, an important… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Management of Cystic Lesions of Spleen
Introduction: Primary splenic cyst is a relatively rare disease, and the majority of cases are classified as epithelial cysts. Non-parasitic cysts are classified as primary (true, epithelial), lined by an epithelial cover (epidermoid, dermoid, and mesothelial) or endothelial cover (hemangioma, lymphangioma), and secondary (pseudocysts, non-epithelial), which are usually post traumatic in origin. Laparotomy with splenectomy… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Adrenalectomy for Large Tumors. Single Team Experience.
We present our series of 46 Laparoscopic adrenalectomies (LA) for large adrenal tumors (> 5 cm) performed from July 2003 till September 2009. The department of endocrinology primarily evaluated these patients. Contrast-enhanced computerized tomography (CECT scan) or magnetic resonance imaging (MRI) were relied upon in all cases to look for the size of the gland,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Single-incision Laparoscopic Splenectomy for Itp
Single-incision laparoscopic splenectomy for ITP Summary: A technique for single incision laparoscopic splenectomy in a normal sized spleen and using a single 2cm peri-umbilical incision is demonstrated. We used three 5mm ports and straight laparoscopic instruments. This approach was chosen to allow the use of a 5mm scope, a straight (non-articulated) 5mm ultrasonic scissor and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Solid Organ and Endocrine
Utilization of Laparoscopic Splenectomy: An Analysis From the National Surgical Quality Improvement Program Database
Introduction: Laparoscopic splenectomy is increasingly performed for both benign and malignant disorders. With advancements in laparoscopic techniques, the indications for laparoscopic splenectomy have broadened. To determine if clinical practice nationwide reflects the published superiority of the laparoscopic over the open approach, we compared the utilization of laparoscopic versus open splenectomy by analyzing the National Surgical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
A Large Single Institution Case Series of Laparoscopic Splenectomy for Benign and Malignant Splenic Masses
INTRODUCTION: Both benign and malignant splenic masses are uncommon with the former being found in 0.007% of autopsy specimens. Little has been reported on the use of laparoscopic surgery for the management of splenic neoplasms. We reviewed our single institution experience of laparoscopic splenectomy in patients with splenic masses. METHODS: A database of laparoscopic splenectomies… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Splenectomy in Trauma: Benefit or Burden?
Introduction: Laparoscopic splenectomy is a safe and effective procedure in elective situations, however it is rarely employed in acute trauma settings. The objective of this study was to compare outcomes between laparoscopic and open splenectomy in trauma patients, based on a nationwide database.Methods: The National Trauma Data Bank (NTDB) was queried for all splenic injuries… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Minimally Invasive Donor Nephrectomy Using a Supra-pubic Approach: Initial Clinical Experience
Introduction: There is increasing discrepancy between number of patients awaiting transplantation and the number of available organs. To increase the donor pool, live donor kidney transplantation is an excellent option and has become the gold standard for renal transplant. Most operations are performed with conventional laparoscopy with supra-pubic organ extraction from a Pfannenstiel incision. However,… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Comparison of Open Live Donor Nephrectomy, Laparoscopic Live Donor Nephrectomy, and Hand-Assisted Live Donor Nephrectomy: A Cost-effectiveness Analysis
INTRODUCTION: Live donor kidney transplantation is the treatment of choice for end-stage renal failure. Open Donor Nephrectomy (ODN) was the standard until the introduction of Laparoscopic Donor Nephrectomy (LDN) in 1995. Hand-Assisted Laparoscopic Donor Nephrectomy (HALDN)was added shortly thereafter. While decreasing post-operative analgesic requirements and speeding return to normal activity, the laparoscopic techniques are associated… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine