Laparoscopic Accessory Splenectomy: The Importance of Perioperative Localization Studies
Introduction: Laparoscopic splenectomy is an effective treatment for most patients with Idiopathic Thrombocytopenic Purpura (ITP). Patients in whom the response to treatment with splenectomy is incomplete or those who develop recurrence of symptoms should be evaluated for the presence of accessory spleen (AS). The effectiveness of laparoscopic excision of accessory spleen after previous splenectomy for… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Resection of a Giant Splenic Artery Aneurysm
INTRODUCTION: Splenic artery aneurysm affects 0.1% of population. They are often an incidental radiological finding. A spontaneous rupture may be fatal. Intervention is indicated when they reach 2 cm in diameter, are symptomatic, increasing in size, in pregnant patients or in women of child-bearing age. Small splenic artery aneurysm under 4 cm could be treated… Continue Reading
- Topic:
- Solid Organ and Endocrine
Minimal Hospital Stay and Morbidity in the Laparoscopic Treatment of Distal Pancreatic Lesions
Background: There is an increasing trend towards treating distal pancreatic lesions with minimally invasive surgical techniques in order to facilitate both a quicker recovery and fewer complications. Most studies to date have shown a median hospital stay of four to five days. Our data reveal that distal pancreatic cystic and solid tumors can be removed… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Unrecognized Adrenal Insufficiency in Patients Undergoing Laparoscopic Adrenalectomy
Introduction: There is scant data in the literature about unrecognized adrenal insufficiency (AI) in patients undergoing laparoscopic adrenalectomy (LapA). We hypothesized that postoperative day (POD) 1 AM cortisol levels could identify these patients after LapA. The aim of his study is to determine the incidence of AI after LapA and identify clinical predictors. Methods: One… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Submesocolic Anterior Approach to Laparoscopic Left Adrenalectomy
INTRODUCTION: Aim of this study is to prospectively evaluate the feasibility and safety of the submesocolic anterior approach to laparoscopic left adrenalectomy. METHODS: From January 1994 to August 2007, 297 laparoscopic adrenalectomies were performed in 287 patients (10 bilateral) in our Departments. Thirty-seven patients (16 males, 21 females, mean age 55.7 years, range 26-78 years)… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Versus Open Live Donor Nephrectomy: Outcomes Analysis in 276 Consecutive Patients
Purpose: Minimally invasive surgical techniques have become the preferred method for live donor nephrectomy (DN) in many centers. We compare the experience with laparoscopic and open DN within a single institution.Methods: Data on 276 consecutive live DN were entered prospectively (lap) or retrospectively (open) into a surgical outcomes database between 1998 and 2007. Demographic, intraoperative,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Outcomes of Adrenalectomy for Adrenal Metastasis – An Uncommon Indication for Adrenalectomy
Introduction: The role of resection of adrenal metastases (mets) in the laparoscopic (Lap) era is controversial. The purpose of this study was to review our results with adrenalectomy for mets in a series of consecutive patients.Methods: The records of all patients who underwent adrenalectomy for suspected adrenal metastasis at our institution from 1993-2007 were reviewed… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic adrenalectomy for pheochromocytoma……take the vein last?
Purpose: It is and always has been traditional to ligate the adrenal vein early during excision of a pheochromocytoma. This is done to limit catecholamine surges during intraoperative manipulation of the gland, potentially causing hemodynamic lability. This dogma, which originated from open surgery, has now been applied to the laparoscopic approach. At times, patient anatomy… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Maximizing the donor pool: Use of right kidneys and multiple arteries for live donor kidney transplantation
Introduction: The first laparoscopic donor nephrectomy (LDN) was performed in 1996. Since that time, LDN is becoming standard of care for organ procurement. Donor and recipient outcomes have been proven equivocal for laparoscopic and open nephrectomy. In the past, LDN was avoided when procuring the right kidney or organs with multiple arteries. Reviewing our experience… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis
Biliary surgery can often be very complex with difficult access issues, small structures to be manipulated and sutured and close proximity to major vessels. Additionally, biliary surgery is often reoperative. All of these issues have the potential to be aided by the use of technology which provides three-dimensional vision, excellent illumination and access, with steady… Continue Reading
- Topic:
- Robotics
Robotic Vs. Laparoscopic Placement of Gastric Electrical Stimulation Electrodes
Introduction: Gastric Electrical Stimulation (GES or Enterra® Therapy) is a low morbidity treatment option that may be effective for refractory symptoms in patients with gastroparesis of diabetic or idiopathic etiology. During surgery to initiate GES, 2 electrodes are tunneled in the muscular wall of the gastric antrum in a precise location. If these electrodes pass… Continue Reading
Robot-Assisted laparoscopic Colectomy: 70 cases – one surgeon
Background: This study reviewed the use of robot-assisted laparoscopic surgery for colon resection. We described the experience of one fellowship-trained, MIS surgeon over six years performing 70 consecutive colectomies using the da Vinci system. Methods: Between September 2002 and September 2007, data on 70 patients undergoing robotic colectomy for diverticular disease, polyps, cancer, or carcinoid… Continue Reading
Telerobotic Surgery for Foregut Operations: 61 Consecutive Cases – One Surgeon
Background: This study evaluated the feasibility of using robotic assistance for foregut surgery. It described the experience, advantages, and disadvantages of using the da Vinci system on the basis of 61 consecutive foregut cases by a minimally invasive, fellowship-trained surgeon. Methods: Data were collected on 61 consecutive foregut operations performed with the da Vinci system… Continue Reading
Does robotic assistance improve efficiency in performing complex minimally invasive surgical procedures?
OBJECTIVE: We developed a model of biliary-enteric anastomosis to test whether assistance with the da Vinci surgical system, as compared to laparoscopy alone, improves performance on a complex minimally invasive surgical (MIS) procedure. METHODS: An ex vivo model for choledocho-jejunostomy was created using specimens of porcine liver that included an intact extrahepatic biliary system and… Continue Reading
Robotic Gastric Cancer Surgery using da Vinci system: Clinical results & lessons learned from 2-year experience.
Background: For gastric cancer, robotic surgery is still in its early years. This study is performed to evaluate the technical feasibility, effect, and safety of robot-assisted gastrectomy (RAG) with lymphadenectomy using da Vinci systemMethods: From July 2005 to April 2007, 80 RAG with lymphadenectomy were performed for patients with preoperative diagnosis of EGC. The clinicopathologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics