Application of selective devascularization for the treatment of portal hypertension
10.11659/jjssx.07E014033
- VernacularTitle:选择性贲门周围血管离断术的临床应用探讨
- Author:
Yong YE
;
Jinliang MA
;
Jihai YU
;
Geliang XU
;
Jiansheng LI
;
Weidong JIA
- Publication Type:Journal Article
- Keywords:
portal hypertension;
devascularization;
paraesophageal vein
- From:Journal of Regional Anatomy and Operative Surgery
2015;(1):33-35,36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine efficacy of selective devascularization in management of portal hypertension. Methods The clini-cal data of 86 patients of portal hypertension in our hospital from Jan. 2010 to Aug. 2013 were retrospectively analyzed. The patients were divided into the selective group and the nonselectove devascularization group according to the different devascularization ways. The postopera-tive liver function index and complications were analyzed. Results In selective devascularization group, the surgery time was prolonged (P<0. 05), the postoperative FPP was reduced (P<0. 05), and there was no difference in bleeding volume and blood transfusion cases (P>0. 05). The postoperative peak value of ALT and AST and postoperative pomplications in the selective devascularization group were low-er than those in the nonselectove devascularization group (P<0. 05). And patients in the selective devascularization group have a shorter hospital stay compared to the nonselectove devascularization group (P<0. 05). Conclusion Selective devascularization can lower free portal pressure more effectively, reduce incidence rates of postoperative early complications, and it is worthy of clinical promotion.
