Hand-assisted laparoscopic splenectomy plus portozygos disconnection procedure for patients with portal hypertension
- VernacularTitle:手助腹腔镜门脉高压症的脾切除和门奇静脉断流术
- Author:
Xuefeng ZHANG
;
Guoqiang WU
;
Hongxu JIN
;
Jin LI
;
Huiyong JIANG
;
Xiukun ZONG
- Publication Type:Journal Article
- Keywords:
laparoscopy;
splenectomy;
portozygos disconnection;
cirrhosis
- From:
China Journal of Endoscopy
2005;11(8):785-788,791
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To explore the techniques of hand-assisted laparoscopic splenectomy plus portozygos disconnection procedure. [Methods] 18 patients with portal hypertension were operated by hand-assisted laparoscopic splenectomy plus portozygos disconnection. [Results] The operations were completed successfully. The mean operative time was 180(150～260) minutes, the mean blood loss estimated was 540(200～2 000) mL, the mean weight of spleen was 910 (500～2000) g and the mean length of hospital stay was 9.7 (8～18) days after operation. All patients had recovered rapidly and suffered less pain and only 5 patients needed analgesic. The mean recovery time of the bowel function was 52(24～74) hours. The hand incisions healed well, and only one occurred complications and another suffered death. [ Conclusions ] Hand-assisted laparoscopic splenectomy plus portozygos disconnection procedure is to be feasible and safe, and has the merits of minimally invasive surgery.
