Introduction: Laparoscopic splenectomy is an effective treatment for most patients with Idiopathic Thrombocytopenic Purpura (ITP). Patients in whom the response to treatment with splenectomy is incomplete or those who develop recurrence of symptoms should be evaluated for the presence of accessory spleen (AS). The effectiveness of laparoscopic excision of accessory spleen after previous splenectomy for […]
Traditional descriptions of laparoscopic transperitoneal left adrenalectomy and nephrectomy include complete division of the splenorenal ligament. The spleen is reflected toward the midline with the tail of the pancreas to expose the origin of the renal pedicle and adrenal gland. Yet despite aggressive mobilization of the upper pole of the spleen as far cephalad as […]
Traditionally, large adrenal tumors have been considered relative contraindications to laparoscopic adrenalectomy. However, with increasing experience with laparoscopic techniques, even giant tumors can be resected in a minimally invasive manner. We present two cases of laparoscopic adrenalectomy of giant adrenal tumors. The first case involves a 42 year old female with flank pain. Imaging revealed […]
Background: Laparoscopic splenectomy (LS) has been established as a safe and effective alternative to open splenectomy (OS) for the treatment of appropriate patients with hematologic disease. The purpose of this study was to review our teaching institution’s experience with splenectomy for hematologic disease. Methods: Between 1996 and 2005 a total of 101 consecutive splenectomies were […]
Background: Laparoscopic splenectomy (LS) has been established as a safe and effective alternative to open splenectomy (OS) for the treatment of Idiopathic Thrombocytopenic Purpura (ITP). The purpose of this study was to review our teaching institution’s experience with splenectomy for ITP. Methods: Between 1996 and 2005 a total of 35 consecutive splenectomies were performed for […]