Endoscopic varicose vein ligation combined with laparoscopic splenectomy on portal hypertension
- VernacularTitle:经内镜食管曲张静脉套扎术联合腹腔镜脾切除术治疗门静脉高压症
- Author:
Mingfang QIN
;
Huiqi YANG
;
Qing WANG
;
Chengyue GOU
;
Ning LI
- Publication Type:Journal Article
- Keywords:
Portal hypertension;
Endoscopic varicose vein tigation;
Hand-assisted laparoscopic splenectomy
- From:
Chinese Journal of Digestive Endoscopy
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study on the effectiveness and reliability of endoscopic varicose vein ligation (EVL) combined with hand-assisted laparoscopic splenectomy (HLS) in portal hypertensive patients. Methods Retrospectively 15 cases of EVL combined with HLS were reviewed from June 2001 to October 2004. These patients with severe esophageal varicose and hypersplenism were adapted to perform endoscopic varicose vein ligation, then 1 -2 weeks after the varicose became milder or disappeared, hand-assisted laparoscopic splenectomy was conducted. Results The number of preoperative ligation was 2. 2 times in average. Esophageal varicose was completely disappeared in 11 and mild in 4. There were no postoperative complications, conversion and death in Hand-assisted laparoscopic splenectomy. The average postoperative count of platelets were (38-67) ? 106/L preoperatively raised to (89-310) ? 106/L postoperatively. In the follow up period (average 17. 6 months) , no varicose vein bleeding happened. Conclusions EVL combined with HLS is not only minimal invasive, but also a secure and effective measure for portal hypertension.
