The clinical analysis of laparoscopic splenectomy for hypersplenia of portal hypertension

VernacularTitle:腹腔镜脾切除术在门静脉高压症脾功能亢进中的临床应用体会
Author: Guoyue Lü ; Xiaodong SUN ; Yingchao WANG ; Yahui LIU ; Kai LIU ; Xiaohong DU ; Guangyi WANG ; Yuquan TAN
Publication Type:Journal Article
Keywords: Laparoscopic splenectomy; Cirrhosis; Hypersplenia; Portal hypertension
From: Chinese Journal of Hepatobiliary Surgery 2010;16(12):928-930
CountryChina
Language:Chinese
Abstract: Objective To explore the indications,surgical techniques and clinical effects of laparoscopic splenectomy on patients with portal hypertension. Methods Analysis the clinical data of 32 patients of portal hypertenision with laparoscopic splenectomy and open splenectomy from March 2006 until June 2009. Results The effectiveness of the procedures for portal hypertension was evaluated.Among 16 patients with LS, 2 patients were converted to open surgery. There is no significant difference with operatative time, blood loss and hospital fees between the two groups, the laparoscpy group had the shorter mean hospitalization, fasting and draining time. Conclusions If there are enough preparation preoperation, skillful laparoscopic technique and micromesh manipulation during operation,laparoscopic splenectomy is a minimally invasive and safe technique in the patients with lower-grade to medium varicose veins.