中国实用外科杂志2011，Vol.31Issue(12)：1114-1116,3.
完全腹腔镜下改良Sugiura手术治疗肝炎后肝硬化门静脉高压症7例分析
Totally laparoscopic modified Sugirua procedure for cirrhotic portal hypertension: an analysis of 7 cases
蔡小勇 1梁丽萍 1潘孟 1黄玉斌 1勒小建 1晏益核 1陆文奇 1刘祖军 1雷宇 1陈永军1
作者信息
- 1. 广西医科大学第一附属医院西院微创外科中心,广西南宁 530007
- 折叠
摘要
Abstract
Objective To study the methods and skills of totally laparoscopic modified Sugirua procedure for cirrhotic portal hypertension, and evaluate the feasibility, safety and operation effect of the procedure. Methods Seven cases of posthepatitic cirrhosis, splenomegaly, hypersplenism and gastric fundus esophagus varicosity admitted between 2007 and 2009 in the First Affiliated Hospital of Guangxi Medical University were performed totally laparoscopic modified Sugirua procedure. The procedure included splenectomy, devascularization and esophageal transection. Results The operation was successful in all 7 patients. The operating time was 4.0 to 8.5 hours. Mean blood loss was 700 mL. The patients recovered well without any severe complications. All the patients were followed up 1.0-2.5 years with normal blood cells and no rebleeding occurred in the time period. Conclusion Totally laparoscopic modified Sugirua procedure is feasible, safe, minimally invasive and fast restored with excellent cosmetic result. It offers a new alternative for the treatment of portal hypertension, but it should be performed by highly skilled laparoscopic surgeons.关键词
门静脉高压/腹腔镜/脾切除术/断流术/Sugiura手术Key words
portal vein hypertension/ laparoscopy/ splenectomy/ devascularization/ Sugiura procedure分类
医药卫生引用本文复制引用
蔡小勇,梁丽萍,潘孟,黄玉斌,勒小建,晏益核,陆文奇,刘祖军,雷宇,陈永军..完全腹腔镜下改良Sugiura手术治疗肝炎后肝硬化门静脉高压症7例分析[J].中国实用外科杂志,2011,31(12):1114-1116,3.
