The study on the clinical effect of modified four-step laparoscopic splenectomy and pericardial de-vascularization
10.3969/j.issn.1005-6483.2018.05.007
- VernacularTitle:改良四步法腹腔镜巨脾切除联合贲门周围血管离断术临床效果研究
- Author:
Anding WU
1
;
Lipeng WAN
;
Yanqiong QIN
Author Information
1. 438000,湖北黄冈市中心医院普外科
- Keywords:
portal hypertension of liver cirrhosis;
modified four-step method;
laparoscope;
splenectomy;
peripheral angiotomy
- From:
Journal of Clinical Surgery
2018;26(5):339-341
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficary of modified four-step laparoscopic splenec-tomy and pericardial devascularization.Methods The clinical data of 72 patients with portal hypertension who were admitted to our hospital were retrospectively analyzed.Patients were divided into modified four-step laparoscopic group(36 patients)and open group(36 patients). The clinical indicators(operation time,amount of intraoperative blood loss,hospital stay,total hospitalization expenses,and intraoperative bleeding rate)and the incidence of postoperative complications were compared among the two groups.Re-sults The intraoperative blood loss(755.16 ± 50.23),Intraoperative bleeding rate(13%)and hospital stay(14.77 ± 2.09)of open group was higher than the modified four-step laparoscopic group(462.02 ± 61.42,11.11%,9.45 ± 3.20,P<0.05).The median operation time(187.67 ± 32.10)and the cost of hospitalization(42368. 70)of open group was lower than the modified four-step laparoscopic group (265.79 ± 48.23,50143.46,P<0.05).There were no significant differences in perioperative complica-tion rate among the two groups(P>0.05).Conclusions The procedure of modified four-step laparo-scopic splenectomy and pericardial devascularization has safe,feasible and with good therapeutic effect.It can significantly reduce the blood flow and blood transfusion in patients with probability,shorten the hospi-talization,lower the incidence of postoperative complications to some extent.However,the cost of hospital-ization and the time of operation are still relatively high,and further improvement should be made on the clinical application.
