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
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
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
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
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
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
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
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
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
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
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
Different Approaches for Laparoscopic Adrenalectomy Looking for a Tailored Route
Aim: to report our experience in laparoscopic adrenalectomy (LA) through anterior, lateral and submesocolic approaches .Methods: 267 patients (pts) underwent LA in our departments. The choice of the surgical route was based on patient (BMI, previous abdominal surgery) and lesion features (size, side, secreting mass, suspect malignancy). Dissection and coagulating technology did change over the… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine
Laparoscopic Adrenalectomy for Primary Hyperaldosteronsim: Comparison of Clinical Response Based on Adrenal Pathology
Introduction: Primary hyperaldosteronism may be caused by adrenal hyperplasia (nodular [NH] or diffuse [DH]) or functional adenoma [FA]. We compare response of hypertension and hypokalemia for both pathologies following laparoscopic adrenalectomy. Methods: All adrenalectomies performed for hyperaldosteronsim at a single institution were retrospectively reviewed. Hypertension / hypokalemia were considered improved in patients with reduction in… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine