期刊
WORLD JOURNAL OF SURGERY
卷 38, 期 11, 页码 2934-2939出版社
SPRINGER
DOI: 10.1007/s00268-014-2652-6
关键词
-
类别
It is a technical challenge to perform laparoscopic splenectomy (LS) on patients with liver cirrhosis. The purpose of this article is to share our experience with performing LS in the setting of hypersplenism secondary to liver cirrhosis. A total of 43 LSs for hypersplenism secondary to liver cirrhosis were performed between September 2003 and January 2013. The patients studied in this series were consecutively enrolled. All of the surgeries were performed by a single surgeon. We divided our patients into two groups based on whether splenogastric ligament-entranced laparoscopic splenectomy (SLELS) was used. Data were collected retrospectively by chart review. The patients in the two groups had comparable demographic characteristics. Patients who underwent LS with SLELS (group 2) required less operating time (195.2 +/- A 45.8 vs. 227.7 +/- A 52.1 min, p = 0.042) and suffered less blood loss (160.4 +/- A 107.6 vs. 270.1 +/- A 231.2 ml, p = 0.031). No significant difference was found in terms of blood transfusion, conversion, postoperative hospital stay, and complications. It is safe and feasible to perform LS on patients with hypersplenism secondary to liver cirrhosis. In the procedure of SLELS, we highlight the importance of sufficient elevation the upper pole of the spleen.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据