ObjectiveTo evaluate the feasibility,effectiveness and safety of laparoscopic splenectomy combined with pericardial devascularization for the treatment of portal hypertension in cirrhotic patients. MethodsIn this study 16 cases underwent initial totally laparoscopic splenectomy and paraesophagogastric devascularization,with 10 cases undergoing upfront open surgery as controls by one treatment group.Clinical data including operative time,intraoperative blood loss,post-operative complications and hospitalization were compared between the two groups.ResultsIn the laparoscopic group the procedure was successfully performed in 12 cases.4 cases were converted to open surgery.The operative time in laparoscopic group and the open group was respectively (315 ± 77 ) min and (291± 31) min (P =0.384).The mean intro-operative blood loss was (409 ±216) ml and (980 ±402) ml (P ＜0.01).The post-operative stay was ( 10 ± 3 ) d and ( 17 ± 8 ) d ( P ＜ 0.01).Differences in post-operative complication rate between the two groups was not statistically significant ( 17％ vs.30％,P =0.525 ).ConclusionsLaparoscopic splenectomy and pericardial devascularization is feasible,effective and safe for cirrhotic patients with portal hypertension,it has the advantage of less intra-operative blood loss,less pain and shorter hospitalization than open surgery.

Objective To investigate the value of laparoscopy in the treatment of ventriculoperitoneal shunt(VPS).Methods From August 2000 to August 2008,156 patients with hydrocephalus received VPS in our hospital.During the operation,a drainage tube was placed under the right diaphragm,and then fixed to the round ligament.Results The laparoscopic surgery was successfully completed in all of the cases.A mean of 17-month follow-up(14 to 24 months) was achieved in 133 of them.During the period,no distal VPS obstruction,gastrointestinal symptoms,intra-abdominal organs injury or infection occurred.Seven patients presented with obstruction of the VPS at the ventricle side.Conclusion Laparoscopy is a minimally invasive technique for the treatment of VPS with good outcomes and few complications.

Chinese medicinal materials ,as main treatment measures ,are commonly used in clinic practice of Chinese tra-ditional medicine with long history ,and a significant proportion of Chinese medicinal material resources are from wild resource . Unreasonable exploitation and utilization of wild resources of Chinese medicinal material that happened in recent years make it a great challenge to sustainable development .This paper discussed on issues of Chinese medicinal material resources development and strategies of endanger species protection .