Efficacy of splenectomy plus selective pericardial devascularization under en-doscope in treatment of advanced schistosomiasis patients with portal hyper-tension and hypersplenism
- VernacularTitle:腔镜下脾切除加选择性贲门周围血管离断术治疗晚期血吸虫病门脉高压合并脾功能亢进效果
- Author:
Dong DENG
;
Lingyun LI
;
Xiang LI
;
Yue HU
;
Juanjuan LIU
- Publication Type:Journal Article
- Keywords:
Advanced schistosomiasis;
Splenomegaly;
Laparoscope;
Splenectomy;
Selective pericardial devascularization
- From:
Chinese Journal of Schistosomiasis Control
2014;(3):341-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of splenectomy plus selective pericardial devascularization under endoscope in the treatment of advanced schistosomiasis patients with portal hypertension and hypersplenism so as to explore the minimally in-vasive and safer surgical treatment. Methods A secure splenectomy was performed with laparoscope and its supporting devices, and at the same time,the ligation of the left gastric vein and the ligation of esophageal vein perforating vertically into the esopha-gus were also performed in 14 advanced schistosomiasis patients with portal hypertension and hypersplenism. Results Among the 14 patients,the splenic artery was separated and clipped before the treatment of splenic pedicle. One patient was of conversion to open laparotomy for the splenic vein rupture bleeding in the separation. There was no death. Conclusion The operation of sple-nectomy plus selective pericardial devascularization under endoscope is effective,truly minimally invasive,and safe in the treat-ment of advanced schistosomiasis patients with portal hypertension and hypersplenism.
