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
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
Laparoscopic Versus Open Splenectomy for Hematologic Diseases – A 10-year, Single-center Experience
INTRODUCTION: Although laparoscopic splenectomy (LS) has become widely accepted as the approach of choice for the surgical treatment of hematologic diseases, some areas still remain controversial. We present a 10-year, single institution experience with splenectomy for non-traumatic diseases to evaluate the safety and feasibility of laparoscopic versus open (OS) technique.METHODS: A retrospective review of 286… Continue Reading
- Type:
- Posters
- 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
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
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
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
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
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
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
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
Two for One: A Crh and Acth Secreting Pheochromocytoma
Introduction: This is a unique case of a pheochromocytoma secreting both ACTH and CRH. Pheochromocytomas secreting either CRH or ACTH have been reported in the literature and are a rare cause of Cushing’s syndrome. To date, there are no reports of a pheochromocytoma producing both hormones. Background: A 38-yr-old previously healthy female presented with a… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
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