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Journal
2014 | 10 | 1 |
Article title

Laparoscopic splenectomy and porto-azygos disconnection: clinical research in the treatment of portal hypertension

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EN
Abstracts
EN
To investigate the safety and efficacy of laparoscopic splenectomy and portaazygous devascularization, we studied laparoscopic splenectomy and porto-azygos devascularization patients within the peri-operative period. Clinical data and curative effect are detailed alongside statistical analysis. The laparoscopic splenectomy and porto-azygos devascularization operation time was 2.56 + 0.62 hours. The intraoperative bleeding and anal exhaust time was 149.5 + 32.7ml 3.47 + 1.32 days, and the hospitalization time was 5.05 + 1.22 days. When the spleen volume was greater than or equal to 1.5 liters, the rate of open abdominal surgery increased significantly. After 1, 2, 3, and 4 years of follow-up, cumulative recurrence bleeding rates were 0, 5.20%, 9.98%, and 15.83%, respectively. Laparoscopic splenectomy and pericardial devascularization is safe, effective, and feasible, and it can be confirmed by enhanced spiral computed tomography (CT). Whether spleen volume greater than 1.5L is suited to laparoscopic surgery requires further research.
Publisher
Journal
Year
Volume
10
Issue
1
Physical description
Dates
published
1 - 1 - 2015
received
11 - 7 - 2015
accepted
15 - 10 - 2015
online
17 - 12 - 2015
References
  • [1] Habermalz B., Sauerland S., Decker G., Delaitre B., Gigot J.F., Leandros E., Lechner K., Rhodes M., Silecchia G., Szold A., Targarona E., Torelli P., Neugebauer E., Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES), Surg. Endosc., 2008, 22, 821-48[Crossref]
  • [2] Delaitre B., Maignien B., Splenectomy by laparoscopic approach: report of a case, Presse Med., 1991, 20, 2263
  • [3] Yamamoto J., Nagai M., Smith B., et al., Hand-assisted laparoscopic splenectomy and devascularization of the upper stomach in the management of gastric varices, World J. Surg., 2006, 30(8), 1520-5[Crossref]
  • [4] Zhang X., Hongxu j., Lijin, et al., Clinical comparison study of hand-assisted laparoscopic and laparotomy nephrectomy, Journal of Laparoscopic Surgery, 2007, 12(4), 276-278
  • [5] Zhu Y., Yuedong W., Baojun L., Clinical application of laparoscopic huge splenectomy and portal azygous disconnection, Zhejiang Medical Journal, 2005, 25(1), 59
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_1515_med-2015-0073
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