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 […]
Spleen sparing distal pancreatectomy is usually performed for small or benign looking tumors of the body and tail of the pancreas. Such tumors include neuroendocrine pancreatic tumors, intraductal papillary mucinous neoplasm and other cystic lesions.The procedure of distal pancreatectomy with spleen preservation may be challenging and technically difficult when performed in the open fashion, let […]
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 […]
Introduction: Post gastric bypass hyperinsulinemic hypoglycemia defines a group of patients with postprandial neuroglycopenic symptoms similar to insulinoma but in many cases more severe. There are few reports of patients with this condition. The primary surgical therapy is distal or subtotal pancreatectomy. Here we describe our surgical experience for the management of this rare condition. […]
Background Minimally invasive Laparoscopic Donor Nephrectomy (LDN) is the gold standard procedure for donor nephrectomy. Various techniques of donor neprectomy have been described and the utility of any one technique depends upon the skill of the surgeon. Donor vascular length facilitates adequate recipient anastomosis and prevents technical difficulties associated with short vessels. Our preference has […]