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 […]
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 […]
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 […]
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. […]
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 […]