Introduction
Retroperitoneal biopsies are required in the presence of adenopathy, soft tissue mass or lesions. Traditional access requires a transperitoneal approach which increases time to recovery from surgery. The present video describes a case of iliac lymph node biopsy using a retroperitoneal single port approach.
Methods and results
A 53-year-old male presented with constitutional symptoms. The patient had a history of a treated Hodgkin lymphoma 16 years ago. A PET/CT showed an FDG av
Laparoscopic bilateral adrenalectomy can be a technically challenging case, particularly on the right side given the proximity to the inferior vena cava. We present a case of a 46 year-old female with bilateral adrenal masses, with the right-sided mass measuring greater than 5cm. Subsequent work-up was consistent with bilateral pheochromocytomas. The technique for laparoscopic bilateral adrenalectomy is presented including patient preparation, positioning, port placement, and surgical steps. The
We present here a review of the preoperative considerations and technique for laparoscopic transperitoneal partial adrenalectomy, also referred to as a subtotal adrenalectomy. This is more recently used as an alternative approach to complete bilateral adrenalectomies in patients with inheritable causes of adrenal tumors, including Von Hippel Lindau syndrome, MEN2a and neurofibromatosis. Bilateral complete adrenalectomies result in a lifelong need for exogenous steroids and it does not entirely e
This video demonstrates laparoscopic marsupialization of an enlarging splenic cyst. It describes how to mobilize the spleen to gain access to this superior pole cyst and briefly reviews the incidence and pathophysiology of splenic cysts.
This video highlights some of the clinical decision making elements that came up during a case on call, that of the removal of a foreign object from the abdomen.
We present this video as we think it might generate a discussion on some concepts that came up during the surgery, such as intraoperative gastroscopy for removal of foreign body from the duodenum, a cholecystectomy for a secondarily inflammed gallbladder, and wether or not to leave a drain in such a situation.