Tunnel-building laparoscopic splenectomy and pericardial devascularization in the treatment of portal hypertension
10.3760/cma.j.issn.1007-8118.2018.08.006
- VernacularTitle:“隧道法”腹腔镜脾切除加贲门周围血管离断术治疗门静脉高压症
- Author:
Yong TANG
1
;
Chidan WAN
Author Information
1. 华中科技大学同济医学院附属协和医院肝胆外科
- Keywords:
Tunnel;
Laparoscopy;
Splenectomy;
Pericardial devascularization;
Portal hypertension
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(8):522-525
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficiency of Tunnel-building laparoscopic splenectomy and pericardial devascularization (TLSPD) in the treatment of portal hypertension.Methods The clinical data of patients who underwent TLSPD from 2014 Jan to 2017 Jun were retrospectively studied.The operative time,intraoperative blood loss,conversion rate,postoperative complication rate,and the follow-up data analyzed.Result 466 patients underwent surgery successfully.The operative time was (145.0±55.0) min,and the intraoperative blood loss was (60.0±29.0)ml.There were 6 conversions to open surgery.The complication rate was 4.3％.No deaths occurred during the perioperative period.Variceal rebleeding occurred in 9 patients and portal vein thrombosis occurred in 214 patients.Conclusions TLSPD was safe and efficious with a low operative risk.The treatment resulted in a low rate of variceal rebleeding.
