Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique

Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique

Purpose. This study was conducted to introduce a novel modified surgical technique for laparoscopic splenectomy and esophagogastric devascularization (LSED) and its safety and efficiency. Methods. From June 2016 to November 2017, 86 patients were diagnosed with portal hypertension and serious gastro...

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Veröffentlicht in:Gastroenterology research and practice 2019-01, Vol.2019 (2019), p.1-7
Hauptverfasser: Zhang, Wan-Guang, Liu, Fei-Long, Luo, Hong-Ping, Zhang, Lei
Format: Artikel
Sprache:eng
Schlagworte:
Abdomen
Clinical Study
Endoscopy
Habitus
Hepatology
Hypertension
Laparoscopy
Ligaments
Liver cirrhosis
Patients
Spleen
Stomach
Surgeons
Surgery
Surgical techniques
Veins & arteries
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Zusammenfassung:Purpose. This study was conducted to introduce a novel modified surgical technique for laparoscopic splenectomy and esophagogastric devascularization (LSED) and its safety and efficiency. Methods. From June 2016 to November 2017, 86 patients were diagnosed with portal hypertension and serious gastroesophageal varices in our center. Of them, 32 patients underwent LSED and 54 received the modified LSED. Results and outcomes were compared retrospectively. Results. There were no significant differences in preoperative patient characteristics of the two groups. No intraoperative deaths took place in both groups. The intraoperative blood loss was apparently less in the M-LSED group (P
ISSN:1687-6121
1687-630X
DOI:10.1155/2019/2623749