Comparison of two laparoscopic splenectomy plus pericardial devascularization techniques for management of portal hypertension and hypersplenism

Surgical Endoscopy
De-fei HongXiaolong Liu

Abstract

Our research was conducted to analyze the outcomes of two laparoscopic splenectomy plus pericardial devascularization (LSPD) techniques in the management of portal hypertension (PTH) and hypersplenism. Between May 2012 and May 2013, 41 patients with PTH and hypersplenism undergoing LSPD were retrospectively analyzed. Of them, 29 patients received LSPD by LigaSure Vessel Sealing System (LVSS) and Endo-GIA universal endoscopic vascular linear staplers (Endo-GIA) (EG Group) and 12 patients received LSPD by LVSS and Hem-o-Lock (HL Group). Operating time, intraoperative blood loss, postoperative course, and hospitalization costs were compared between the two LSPD combination techniques. There were no significant differences in preoperative patient characteristics of the two groups. Significantly less operating time, intraoperative blood loss, and postoperative complications were observed in EG Group. The incidence of portal vein thrombosis was lower in the EG Group (3.4 vs. 8.3%), as well as the incidence of pancreatic fistula (0 vs. 8.3%). Upper gastrointestinal hemorrhage was not observed in either group. Uncontrolled bleeding warranted conversion to open surgery in one case in EG Group (conversion rate 3.4%) and in two cases in H...Continue Reading

References

Sep 10, 1998·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·N D GraceJ Rodes
Aug 29, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·B CondatD Valla
Nov 14, 2002·Urology·Thomas H S HsuLouis R Kavoussi
May 25, 2004·Surgical Endoscopy·A PietrabissaF Mosca
Dec 24, 2004·Diseases of the Colon and Rectum·S Y KwokM K W Li
Sep 3, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew S Wright, Layton F Rikkers
Nov 22, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Rahsan VargünAydin Yagmurlu
Feb 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yue D WangTing Zhao
Jul 18, 2009·World Journal of Gastroenterology : WJG·Xiao-Zhong JiangYou-Jiang Tao
Aug 31, 2010·The American Journal of Medicine·Xingshun QiDaiming Fan
Feb 1, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·María Gabriela DelgadoJuan Carlos García-Pagán
Oct 30, 2012·World Journal of Surgical Oncology·Defei HongShuyou Peng
Nov 9, 2012·International Journal of Medical Sciences·Bai JiGuangyi Wang

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