Chinese Journal of General Surgery 2010;25(9):702-705

doi:10.3760/cma.j.issn.1007-631X.2010.09.002

Total laparoscopic splenectomy and pericardial devascularization for the treatment of portal hypertension

Xin DUAN ; Tao HE ; Zhi ZHENG ; Yingjian ZHENG ; Mingjie LI

Keywords

Hypertension,portal; Laparoscopy; Splenectomy; Devascularization

Country

China

Language

Chinese

Abstract

Objective To evaluate total laparoscopic splenectomy combined with pericardial devascularization. Methods In this study,40 patients with portal hypertension and hypersplenism underwent total laparoscopic splenectomy combined with pericardial devascularization,in which 26 cases had a history of up-GI bleeding. Results Procedures were successful in 36 patients.There was four conversions to open surgery.The operations were completed in a mean time of (224 ± 54) min,with a mean estimated blood loss of (296 ± 209) ml and with no serious complication. Conclusion Total laparoscopic splenectomy combined with pericardial devascularization is a safe and effective available minimally invasive procedure in patients with portal hypertension and hypersplenism.