Comparison of Efficacy of Laparoscopic and Open Splenectomy Combined With Selective and Nonselective Pericardial Devascularization in Portal Hypertension Patients.

Abstract

BACKGROUND:

Recent advances in laparoscopic techniques have demonstrated that laparoscopy is superior for managing portal hypertension. This study aimed to compare the efficacy of laparoscopic splenectomy plus selective pericardial devascularization (LSSD) and open splenectomy and nonselective pericardial devascularization (OSD) in patients with portal hypertension.

METHODS:

A total of 127 patients with portal hypertension underwent either LSSD or OSD at Jingzhou Central Hospital from January 2014 to December 2016. A total of, 55 patients received LSSD, including 29 male and 26 female individuals (age, 56.0±11.6 y); 72 patients received OSD, including 45 male and 27 female individuals (age, 53.4±10.9 y). The parameters of operation and outcomes were measured and compared.

RESULTS:

Intraoperative blood loss, postoperative complications, and hospital stay were significantly lower in LSSD group but operation time was significantly lower in OSD group. Postoperative Child-Pugh score was significantly lower in LSSD group than in OSD group.

CONCLUSIONS:

LSSD is a safe and effective treatment for liver cirrhosis patients with portal hypertension.

• Authors: Hao Chen, Fang Yang, Ting-Ting Li, Ke-Nan Zhang, Zhen-Gang Sun, Chun-Zhao Yu, Yuan Sun
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 28 Issue 6 Pg. 401-403 (Dec 2018) ISSN: 1534-4908 [Electronic] United States
• PMID: 30260914 (Publication Type: Comparative Study, Evaluation Study, Journal Article)

Topics

• Blood Loss, Surgical (statistics & numerical data)
• Esophageal and Gastric Varices (surgery)
• Esophagus (blood supply)
• Female
• Humans
• Hypertension, Portal (surgery)
• Laparoscopy (methods)
• Length of Stay (statistics & numerical data)
• Male
• Mesenteric Veins (surgery)
• Middle Aged
• Operative Time
• Postoperative Complications (etiology)
• Retrospective Studies
• Splenectomy (methods)
• Stomach (blood supply)
• Treatment Outcome
• Vascular Surgical Procedures (methods)