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OACSTPCD

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.