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2014 | 10 | 1 |
Tytuł artykułu

Laparoscopic splenectomy and porto-azygos disconnection: clinical research in the treatment of portal hypertension

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
To investigate the safety and efficacy of laparoscopic splenectomy and portaazygous devascularization, we studied laparoscopic splenectomy and porto-azygos devascularization patients within the peri-operative period. Clinical data and curative effect are detailed alongside statistical analysis. The laparoscopic splenectomy and porto-azygos devascularization operation time was 2.56 + 0.62 hours. The intraoperative bleeding and anal exhaust time was 149.5 + 32.7ml 3.47 + 1.32 days, and the hospitalization time was 5.05 + 1.22 days. When the spleen volume was greater than or equal to 1.5 liters, the rate of open abdominal surgery increased significantly. After 1, 2, 3, and 4 years of follow-up, cumulative recurrence bleeding rates were 0, 5.20%, 9.98%, and 15.83%, respectively. Laparoscopic splenectomy and pericardial devascularization is safe, effective, and feasible, and it can be confirmed by enhanced spiral computed tomography (CT). Whether spleen volume greater than 1.5L is suited to laparoscopic surgery requires further research.
Wydawca

Czasopismo
Rocznik
Tom
10
Numer
1
Opis fizyczny
Daty
wydano
2015-01-01
otrzymano
2015-07-11
zaakceptowano
2015-10-15
online
2015-12-17
Twórcy
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012, wfy7561310@163.com
autor
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012
autor
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012
autor
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012
autor
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012
autor
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012
autor
  • General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012
autor
  • General Surgery of Zhejiang Provincial People‘s Hospital
autor
  • General Surgery of Zhejiang Provincial People‘s Hospital
autor
  • General Surgery of Zhejiang Provincial People‘s Hospital
Bibliografia
  • [1] Habermalz B., Sauerland S., Decker G., Delaitre B., Gigot J.F., Leandros E., Lechner K., Rhodes M., Silecchia G., Szold A., Targarona E., Torelli P., Neugebauer E., Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES), Surg. Endosc., 2008, 22, 821-48[Crossref]
  • [2] Delaitre B., Maignien B., Splenectomy by laparoscopic approach: report of a case, Presse Med., 1991, 20, 2263
  • [3] Yamamoto J., Nagai M., Smith B., et al., Hand-assisted laparoscopic splenectomy and devascularization of the upper stomach in the management of gastric varices, World J. Surg., 2006, 30(8), 1520-5[Crossref]
  • [4] Zhang X., Hongxu j., Lijin, et al., Clinical comparison study of hand-assisted laparoscopic and laparotomy nephrectomy, Journal of Laparoscopic Surgery, 2007, 12(4), 276-278
  • [5] Zhu Y., Yuedong W., Baojun L., Clinical application of laparoscopic huge splenectomy and portal azygous disconnection, Zhejiang Medical Journal, 2005, 25(1), 59
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_med-2015-0073
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