Transabdominal paraesophagogastric devascularization and splenectomy plus esophageal transection and reanastomosis for the treatment of portal hypertension
- VernacularTitle:贲门周围血管离断加经腹食管横断吻合术治疗门静脉高压症的疗效评价
- Author:
Lei CHEN
;
Xisheng LENG
;
Fushun WANG
;
Jiye ZHU
;
Shu LI
;
Jirun PENG
;
Guangming LI
- Publication Type:Journal Article
- Keywords:
Hypertension, portal;
Anastomosis, surgical;
Esophageal and gastric varices
- From:
Chinese Journal of General Surgery
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of paraesophagogastric devascularization and splenectomy with transabdominal esophageal transection and reanastomosis in the treatment of portal hypertension Methods Clinical data of 48 portal hypertensive patients undergoing this procedure from June 1997 to June 2002 were analyzed retrospectively to evaluate the effect and complications of the operation Results Forty three patients were followed up for an average of 39 months The varicose veins eliminating rate was 93% The rebleeding rate was 2% The survival rate was 93% Two patients died of severe intra abdominal infection due to leakage of esophageal anastomosis and hepatic failure respectively during the early postoperative period Postoperative thrombosis rate in portal system was 8%, hydrops rate in splenic recess was 6%, the leakage and stenosis rate of anastomosis were 8% and 6% respectively Conclusion Paraesophagogastric devascularization and splenectomy with transabdominal esophageal transection is an effective method for the treatment of portal hypertension Because there is a risk of postoperative anastomosis leakage and stenosis, attention should be paid to the choice of patients for operation and manipulations during the operation
