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

• Authors: Wang Fengyong , Sun Yuanshui , Zhangbing , Wu Yuewu , Zhan Weihua , Shi Jianfeng , Wu Qi , Liu Jinming , Xu Ji , Ye Zaiyuan
• Languages of publication: 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.

Keywords

EN

Laparoscopic operation; devascularization; open operation; portal hypertension; splenectomy

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 10
• Issue: 1

Dates

published

1 - 1 - 2015

received

11 - 7 - 2015

accepted

15 - 10 - 2015

online

17 - 12 - 2015

Contributors

author

Wang Fengyong

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Sun Yuanshui

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Zhangbing

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Wu Yuewu

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Zhan Weihua

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Shi Jianfeng

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Wu Qi

• General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012

author

Liu Jinming

• General Surgery of Zhejiang Provincial People‘s Hospital

author

Xu Ji

• General Surgery of Zhejiang Provincial People‘s Hospital

author

Ye Zaiyuan

• General Surgery of Zhejiang Provincial People‘s Hospital

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

Identifiers

DOI

10.1515/med-2015-0073