Application of priority processing for splenic pedicle in laparoscopic splenectomy for portal hypertension and splenomegaly
10.3760/cma.j.issn.1007-8118.2017.07.015
- VernacularTitle:脾蒂优先处理法在腹腔镜门静脉高压症巨脾切除术中的应用
- Author:
Dongwei LI
;
Junjiu LI
;
Qiuhua XIONG
;
Huichang ZHANG
;
Dachao MO
;
Da SUN
;
Jun OUYANG
- Keywords:
Laparoscopic splenectomy;
Splenic pedicle;
Portal hypertension;
Splenomegaly
- From:
Chinese Journal of Hepatobiliary Surgery
2017;23(7):485-487
- CountryChina
- Language:Chinese
-
Abstract:
A retrospective study was conducted based on the clinical data of 42 patients of portal hypertension and splenomegaly who underwent laparoscopic splenectomy.The patients were divided into two groups including pedicle priority group and conventional group by different operative method.The operation time and intraoperative blood loss in the pedicle priority group were significantly lower than those in the conventional group (both P ＜ 0.05),and there was no statistically significant difference on the conversion rate of laparotomy,active time postoperation,exhaust time,postoperative hospitalization stay and the incidence of complications (all P ＞ 0.05).Priority processing for splenic pedicle has obvious advantages in laparoscopic splenectomy for portal hypertension and splenomegaly,and it could reduce the difficulty of operation,shorten the operation time and reduce bleeding.
