Modified laparoscopic pyloroplasty added to laparoscopic splenectomy and azygoportal disconnection prevents postoperative gastroparesis
10.3760/cma.j.issn.1007-631X.2017.10.015
- VernacularTitle:改良腹腔镜幽门成形术防治腹腔镜脾切除断流术后胃瘫的疗效
- Author:
Guoqing JIANG
1
;
Dousheng BAI
;
Jianjun QIAN
;
Ping CHEN
;
Shengjie JIN
;
Kuisheng YANG
Author Information
1. 扬州大学临床医学院肝胆外科
- Keywords:
Hypertension,portal;
Gastroparesis;
Pylorus;
Laparoscopes
- From:
Chinese Journal of General Surgery
2017;32(10):847-850
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of modified laparoscopic pyloroplasty (LP) during laparoscopic splenectomy and azygoportal disconnection (LSD) for the prevention of postoperative gastroparesis.Methods A total of 31 cirrhotic patients with bleeding portal hypertension admitted to our department between Jan 2015 and Aug 2015 were retrospectively reviewed.Patients were divided into LP group (n =14) and non-LP group (n =17).Results One month postoperatively,the incidence of bloating was significantly lower in the LP group than in the non-LP group [21％ vs.88％,P ＜0.05].Three months postoperatively,the LP group had significantly lower incidences of nausea (0 vs.35％,P ＜ 0.05) and bloating (14 ％ vs.76％,P ＜ 0.05) than the non-LP group.The incidence of gastric retention confirmed by electronic gastroscopy at 3 and 6 months postoperatively in the LP group was significantly lower than that in the non-LP group (14％ vs.94％,P ＜ 0.01;14％ vs.88％,P ＜ 0.01,respectively).Conclusion It is safe,feasible and with good therapeutic effect for modified laparoscopic pyloroplasty during laparoscopic splenectomy and azygoportal disconnection for the prevention of postoperative gastroparesis.
