Laparoscopic splenectomy plus selective pericardial devascularization for the treatment of portal hypertension
10.3760/cma.j.issn.1007-631X.2018.07.006
- VernacularTitle:腹腔镜巨脾切除联合选择性贲门周围血管离断术治疗门静脉高压症的近期疗效评价
- Author:
Meng WANG
1
;
Xiaohong DU
;
Haiwen ZHANG
;
Ping ZHANG
;
Guoyue LYU
;
Guangyi WANG
Author Information
1. 吉林大学第一医院肝胆胰外一科
- Keywords:
Hypertension,portal;
Splenectomy;
Laparoscopy;
Pericardial devascularization
- From:
Chinese Journal of General Surgery
2018;33(7):552-555
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the efficacy and feasibility of laparoscopic splenectomy combined with selective pericardial devascularization for cirrhotic portal hypertension.Methods From January 2015 to January 2017,the clinical data of 29 cases of cirrhotic portal hypertension treated by laparoscopic splenectomy combined with selective pericardial devascularization were analyzed retrospectively.Results Laparoscopic surgery was successful in all but one cases,who was converted to open surgery.Theoperation time was (235 ± 54) min,intraoperative blood loss was (384 ± 262) ml.The spleen fever syndrome and splenic vein thrombosis were found in 1,2 patients respectively after operation.No serious complications of abdominal hemorrhage,pancreatic fistula and intra-abdominal infection were found.The postoperative hospital stay was (9.6 ± 1.9) d,patients were followed up for 3-6 months,and 3 cases had portal vein thrombosis.The liver function was well maintained.Conclusion Laparoscopic splenectomy combined with selective pericardial devascularization for treatment of portal hypertension is with high success rate and lower incidence of postoperative complications.
