Total laparoscopic splenectomy and pericardial devascularization for the treatment of portal hypertension
10.3760/cma.j.issn.1007-631X.2010.09.002
- VernacularTitle:完全腹腔镜下脾切除联合贲门周围血管离断术的临床应用
- Author:
Xin DUAN
;
Tao HE
;
Zhi ZHENG
;
Yingjian ZHENG
;
Mingjie LI
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Laparoscopy;
Splenectomy;
Devascularization
- From:
Chinese Journal of General Surgery
2010;25(9):702-705
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate total laparoscopic splenectomy combined with pericardial devascularization. Methods In this study,40 patients with portal hypertension and hypersplenism underwent total laparoscopic splenectomy combined with pericardial devascularization,in which 26 cases had a history of up-GI bleeding. Results Procedures were successful in 36 patients.There was four conversions to open surgery.The operations were completed in a mean time of (224 ± 54) min,with a mean estimated blood loss of (296 ± 209) ml and with no serious complication. Conclusion Total laparoscopic splenectomy combined with pericardial devascularization is a safe and effective available minimally invasive procedure in patients with portal hypertension and hypersplenism.
