Laparoscopic splenectomy and portoazygous devascularization for portal hypertension
10.3760/cma.j.issn.1007-8118.2015.10.007
- VernacularTitle:腹腔镜脾切除、门奇断流术治疗门脉高压症
- Author:
Fengyong WANG
;
Yuanshui SUN
;
Ji XU
- Publication Type:Journal Article
- Keywords:
Devascularization;
Laparoscopic operation;
Open operation;
Portal hypertension;
Splenectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2015;21(10):671-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and efficacy of laparoscopic splenectomy and portoazygous devascularization for portal hyperteation.Methods The data of 58 patients who underwent laparoscopic splenectomy and portoazygous devascularization were retrospectively collected and analyzed.Results The operative time for laparoscopic splenectomy and portoazygous devascularization was (2.6 ±0.6) hours.The intraoperative bleeding was (149.5 ± 32.7) ml.The time taken for the bowel to return function was 3.5 ±1.3 days.The hospitalization time was (5.1 ± 1.2) days.When the splenic volume was greater than or equal to 1.5 liters, the conversion to open surgery rate significantly increased [36.0％ (5/14);P ＜ 0.05].The 1, 2, 3, and 4 years cumulative recurrent gastrointestinal bleeding rates were 0, 5.2％, 10.0％, and 15.8％, respectively.Conclusions Laparoscopic splenectomy and pericardial devascularization was safe, efficacious and feasible.When the splenic volume was greater than 1.5 L, whether laparoscopic surgery should be attempted requires further research.
