ABSTRACT
Spleen is the largest reticuloendothelial organ in the body consisting of an encapsulated mass of vascular and lymphoid tissue and responsible for defensive actions and hence the name defense organ for it. Like any other organ in the body it is also afflicted by a number of disorders among which are splenic cysts. Herein we report a case of large primary splenic cyst that was treated successfully by laparoscopic Spleenectomy.
ABSTRACT
Adrenal glands are known to be central to homeostasis and consequently their afflictions are responsible for majorhuman ailments. Laparoscopic adrenalectomy has become the procedure of choice for handling these benign functioning and non-functional afflictions. Recently, literature has documented the feasibility of laparoscopic procedure for even the larger (>5cm) tumors. We present our first-hand experience with ten laparoscopic adrenalectomies done at our center for adrenal masses upto 6cm in diameter.Ten patients with adrenal masses upto 6cm in diameter underwent laparoscopic adrenalectomy at our department between Jan 2010 and Jan 2013. There were 7 males and 3female patients. There were six left sided tumors and four right side tumors with an average tumor size of 4.5cm. Seven out of ten cases had functional tumors. All of the procedures were completed successfully without any major intraoperative complication. The mean (range) operating time was 130 (100-210) min. There was an average (range) blood loss of 200 (150-400) ml. A drain was kept in all the patients and removed mostly on 1st postoperative day. The patients were strictly followed up after the surgery and none of them developed any complication. From our favorable results, we can safely conclude that laparoscopic adrenalectomy is safe and feasible procedure especially for smaller tumors. More experience is needed to tackle the larger size tumors.
ABSTRACT
We report a case of chronic cholecystitis that had no preoperative diagnosis of cholecystoduodenal fistula but was found during laparoscopic cholecystectomy and was managed successfully. I