Splenic artery ligation versus splenectomy in periesophagogastric devascularization for portal hypertension
10.3760/cma.j.cn113855-20200604-00451
- VernacularTitle:门静脉高压症断流术中脾动脉结扎和脾切除的临床疗效比较
- Author:
Qiusheng LI
;
Le WANG
;
Feng FENG
;
Zhongqiang XING
;
Jiansheng ZHANG
;
Wenbin WANG
;
Haitao LYU
;
Jianhua LIU
- From:
Chinese Journal of General Surgery
2021;36(1):34-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evalte a novel laparoscopic splenic artery ligation plus devascularization (LSALD) vs. laparoscopic splenectomy and devascularization (LSD) for the treatment of portal hypertention. Methods:From Jan 2014 to Dec 2019, 50 patients undergoing LSALD and 30 patients receiving LSD . We compared the safety and feasibility between LSALD and LSD groups by analyzing the patients′ blood routine, liver function before and after operation, intraoperative condition, postoperative recovery and prognosis.Results:The operation time[(181±72)min vs.(284±72)min , t=-6.205, P<0.01], intraoperative blood loss[(100±50)ml vs.( 700±86 ml), t=-5.166, P<0.01]and blood transfusion rate (28% vs.67%, χ 2=11.471, P<0.01)in LSALD group were significantly more favorite than those in LSD group ( P<0.05). The postoperative exhaust in the LSALD group was earlier than that in the LSD group (2 d vs.3 d, Z=2.361, P<0.05) though the WBC and blood platelet count was higher in LSD group ( P<0.05). Portal vein thrombosis occurred in 10 cases in LSD group and 6 cases in LSALD group (χ 2=5.757, P<0.05). Conclusion:Compared with laparoscopic splenectomy combined with periesophagogastric devascularization, laparoscopic splenic artery ligation combined with periesophagogastric devascularization is less traumatic, helping quick recovery and lower rate of post-op portal vein thrombosis.
