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Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique
Joint Authors
Zhang, Lei
Luo, Hong-Ping
Liu, Fei-Long
Zhang, Wan-Guang
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
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<0.05).
There was no conversion in the M-LSED group; four patients receiving LSED were converted to hand-assisted LSED due to profuse bleeding during operation (P<0.05).
Operation time was significantly shorter in the M-LSED group (P<0.05).
Otherwise, postoperative hospital stay was shorter in the M-LSED group (P<0.05).
There were no significant differences in postoperative complications between the two groups (P>0.05).
Conclusions.
Our study showed that the modified LSED was a safe and effective approach with low conversion rate, less intraoperative bleeding, less blood transfusion, and shorter operation time and postoperative hospital stay compared with classical LSED.
Moreover, this technique is relatively easy and technically feasible.
American Psychological Association (APA)
Zhang, Lei& Luo, Hong-Ping& Liu, Fei-Long& Zhang, Wan-Guang. 2019. Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1154925
Modern Language Association (MLA)
Zhang, Lei…[et al.]. Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique. Gastroenterology Research and Practice No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1154925
American Medical Association (AMA)
Zhang, Lei& Luo, Hong-Ping& Liu, Fei-Long& Zhang, Wan-Guang. Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1154925
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154925