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 […]
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 […]
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 […]
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 […]
Laparoscopic adrenalectomy (LA) as a method of treatment of adrenal pathology confirmed its efficiency and safety. The aim of the study is to present our possibility and results in adrenal surgery.Material and method: From 29.10.1997 to 31.07.2008 we performed 440 LA in 428 patients. The mean size of tumor was 41,3 mm (from 7 to […]