腹腔镜外科杂志2024，Vol.29Issue(5)：336-341,6.DOI:10.13499/j.cnki.fqjwkzz.2024.05.0336
腹腔镜脾切除联合贲门周围血管离断术治疗门静脉高压症的临床价值评估
Clinical value evaluation of laparoscopic splenectomy combined with pericardial devascularization in the treatment of portal hypertension
李虎 1孟令展 1张晓峰 1牛晓峰 1庄云龙 1朱震宇1
作者信息
- 1. 解放军总医院第五医学中心肝病医学部肝病外科四病区,北京,100039
- 折叠
摘要
Abstract
Objective:To evaluate the superiority and safety of laparoscopic splenectomy combined with pericardial devasculari-zation,and to provide basis for selection of the surgical treatment scheme for portal hypertension.Methods:From Mar.2017 to Nov.2021,clinical data of 215 patients with portal hypertension were retrospectively analyzed.68 patients in study group underwent laparo-scopic splenectomy and pericardial devascularization.68 patients were randomly selected from patients who underwent open splenectomy and pericardial devascularization as the control group.Perioperative indicators,postoperative complications and other clinical effects were compared between the two groups.Results:The average operative time of the study group was longer than that of the control group.The intraoperative blood loss,postoperative hospital stay,abdominal drainage time and postoperative complications in the study group were less than those in the control group,with statistically significant differences(P＜0.05).The intraoperative autologous blood trans-fusion volume was not statistically significantly different between the two groups.Conclusions:Compared with traditional open surgery,laparoscopic splenectomy combined with pericardial devascularization is a safe and effective surgical method with little surgical trauma,easy exposure of anatomic space,quick recovery,short hospital stay and few complications,which can be widely applied.关键词
高血压,门静脉/贲门周围血管离断术/脾切除术/腹腔镜检查Key words
Hypertension,portal/Pericardial devascularization/Splenectomy/Laparoscopy分类
医药卫生引用本文复制引用
李虎,孟令展,张晓峰,牛晓峰,庄云龙,朱震宇..腹腔镜脾切除联合贲门周围血管离断术治疗门静脉高压症的临床价值评估[J].腹腔镜外科杂志,2024,29(5):336-341,6.
