中国普通外科杂志2013，Vol.22Issue(2)：197-200,4.DOI:10.7659/j.issn.1005-6947.2013.02.014
手助腹腔镜改良Sugiura术治疗门静脉高压症的临床分析
Clinical analysis of hand-assisted laparoscopic modified Sugiura procedure for portal hypertension
刘佳 1张绍庚 1肖朝辉 1刘虎 1赵德希1
作者信息
摘要
Abstract
Objective: To compare the short-term clinical efficacy of hand-assisted laparoscopic (HAL) and open modified Sugiura procedure on patients suffering from portal hypertension.
Methods: From January 2011 to March 2012, 56 patients with portal hypertension scheduled for a Sugiura procedure were randomly designated to HAL group or open surgery group, with 28 cases in each group. The intra- and postoperative variables between the two groups were compared.
Results: Operations were performed successfully in all the patients in the two groups, and no complications developed during the procedures. The differences in operative time and incidence of postoperative complications between the two groups showed no statistical difference (both P>0.05). However, HALS group was better than open surgery group in terms of incision length, intraoperative blood loss, time to have flatus
passage, volume of abdominal drainage, and postoperative hospital stay, and all the differences between them had statistical significance (all P<0.05). The patients were followed up for 1 to 13 months, with an average of 7.32 months. The rate of varicose veins occlusion achieved 100% in both groups, and no relapsing bleeding occurred in any of the patients.
Conclusion: The HAL modified Sugiura procedure has not only the same clinical efficacy as the open procedure, but also has the minimally invasive advantages of the laparoscopic procedure.关键词
高血压,门静脉/外科学/腹腔镜,手助/食管和胃静脉曲张Key words
Hypertension, Portal/surg/Laparoscopy/Hand-assisted/Esophageal and Gastric Varices分类
医药卫生引用本文复制引用
刘佳,张绍庚,肖朝辉,刘虎,赵德希..手助腹腔镜改良Sugiura术治疗门静脉高压症的临床分析[J].中国普通外科杂志,2013,22(2):197-200,4.
