Modified hand-assisted versus total laparoscopic splenectomy and esophagogastric devascularization
10.3760/cma.j.issn.1007-8118.2013.01.012
- VernacularTitle:改良手助腹腔镜和完全腹腔镜下脾切除加贲门周围血管离断术的比较研究
- Author:
Xiaoming SHUAI
;
Junhua CHEN
;
Gaoxiong HAN
;
Fei XU
;
Ming CAI
;
Kaixiong TAO
;
Guobin WANG
- Publication Type:Journal Article
- Keywords:
Splenectomy;
Laparoscopes
- From:
Chinese Journal of Hepatobiliary Surgery
2013;(1):36-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare clinical outcomes of modified hand-assisted versus total laparoscopic splenectomy and esophagogastric devacularization for treatment of portal hypertension due to cirrhosis.Methods From Jan 2007 to Dec 2011,modified hand-assisted laparoscopic splenectomy plus esophagogastric devascularization (MHLSED) and total laparoscopic splenectomy and esophagogastric devascularization (LSED) were performed on 47 and 38 patients with portal hypertension due to cirrhosis,respectively.For the MHLESD group,we performed hand-assisted laparoscopic splenectomy first,then converted during operation to totally laparoscopic esophagogastric devascularization.The operating time,intra-operative blood loss,postoperative complications and postoperative hospitalization time were analyzed.Results MHLSED were performed on 47 patients successfully without any need to convert to open surgery,and LSED were performed on 36 patients with 2 patients having to convert to open surgery.The mean operative time [(154 ±32)min] and mean intra-operative blood loss [(115± 73)ml] in the HLSED group were significantly lower than the LSED group [(212±45)min and (172±57)ml,respectively].There was no mortality.There were no significant differences in the time period for gastrointestinal function to recover,postoperative hospital stay and overall complication rate between the two groups.Conclusions MHALSD is a relatively safe and efficacious treatment for portal hypertension due to cirrhosis.It combines the advantages of hand-assisted and totally laparoscopic operations.
