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, […]
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 […]
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 […]
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 […]
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 […]