Laparoscopic Splenectomy Combined with Lower Oesophagus Transection in the Treatment of Hepatic Cirrhosis Complicated with Portal Hypertension
- VernacularTitle:腹腔镜下脾切除加食管横断吻合术治疗门脉高压
- Author:
Guanghua FENG
;
Rongchao YING
;
Zhong JIA
- Publication Type:Journal Article
- Keywords:
Splenectomy;
Laparoscopic;
Lower oesophagus transaction;
Portal hypertensio
- From:
Journal of Medical Research
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the short-term prognosis of laparoscopic splenectomy combined with lower esophagus transection in the treatment for hepatic cirrhosis induced portal hypertension.Methods The clinical data of 7 cases of portal hypertension treated by laparoscopic eplenectomy combined with lower esophagus transaction were retrospectively analysisd.Results Among of the patients,six cases were undertaken with total laparoscopic technique and only one case done with hand-assisted laparoscopic operation and one case turned to open surgery.Average operation time was 330 min and operation hemorrhage was 780 ml.None of cases died,bled or occurred pancreatical fistula.Mean time of bowel function recovery(70 h) and postoperative hospitalization(12.7 d).1 case complicated with hydrothorax recovered after conservative therapy.Conclusion Cincial short-term effects of patients treated with laparoscopic splenectomy combined with lower esophagus transection for hepatic cirrhosis induced portal hypertension is satisfied,so it is a safe and feasible way for future clinical practice if conducted by the skilled and competent surgeon.
