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 […]
The patient is a 57 yo male with history of chronic lymphocytic leukemia for fifteen years and splenomegaly. Patient had a palpable spleen below the level of the umbilicus. His preoperative white blood cell count was 46000 and lymphocyte count was 40000. A Hand port was placed in the upper midline. The patient was in […]
Objectives: We report our experience with bilateral laparoscopic transperitoneal adrenalectomy, and evaluate the safety and efficacy of laparoscopic approach for bilateral adrenal disorders.Pateints and methods: Between March 1998 and January 2008, we performed laparoscopic adrenalectomies in 41 patients. Of these, 4 consecutive patients (9.8%) with bilateral adrenal diseases (pheochromocytoma in 3 and Cushing syndrome in […]
Introduction: Large splenic artery aneurysms are rare, but comprise 60% of all visceral artery aneurysms. Most are found incidentally and rupture in the non-pregnant patient carries an approximate 25% mortality rate. Historically these have been managed with an open surgical approach for resection.Methods: We present the case of a 45 year old male with a […]
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 […]