Laparoscopic splenectomy plus selective pericardial devascularization in the treatment of portal hypertension
10.3760/cma.j.issn.1007-631X.2012.05.002
- VernacularTitle:腹腔镜下选择性贲门周围血管离断术治疗门静脉高压症
- Author:
Meng PAN
;
Xiaoyong CAI
- Publication Type:Journal Article
- Keywords:
Liver cirrhosis;
Hypertension,portal;
Laparoscopes;
Esophageal and gastric varices;
Devascularization
- From:
Chinese Journal of General Surgery
2012;27(5):357-359
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the feasibility,safety and effect of laparoscopic splenectomy and selective pericardial devascularization in the treatment of portal hypertension.MethodsThis study included 7 patients diagnosed as posthepatitie cirrhosis and portal hypertension with a history of up GI bleeding receiving laparoscopic splenectomy and selective pericardial devascularization.ResultsThe operation was successful in all 7 patients without conversion to laparotomy.There were no postoperative severe complications.The average operation time was 4.2 h,mean blood loss was 430 ml.All patients recovered well,and were followed-up for 0.5 ～ 2.0 years,and there was no rebleeding in this period.ConclusionsLaparoscopic selective pericardial devascularization is feasible,safe,minimally invasive.The short to mid term result was satisfactory.
