关键词: 手助腹腔镜, 脾切除, 门奇静脉断流术

Abstract:

【Abstract】 Objective To explore the safety and feasibility of hand-assisted laparoscopic splenectomy plus portal-azygous disconnection for portal hypertension in liver cirrhosis. Methods From March 2008 to February 2013,.58 patients with portal hypertension were divided into two groups according to the patients' economic situation and wishes. HALS group was performed in 31 patients and were treated with hand-assisted laparoscopic operations, and TLS group in the other 27 patients were treated with total laparoscopic operations. The patient's operation time, intraoperative bleeding volume,.conversion to open surgery,.wound infection rate,.intestinal function recovery time, postoperative flatus time and hospital stay in both groups were compared..Chi-square test and t test was used. Results Fifty-eight patients were successfully operated..There were no significant differences in the aspects of intraoperative bleeding,.wound infection rate,.postoperative flatus time and hospital stay between the two groups(P>0.05). But the operation time and laparotomy rate were significantly shorter in HALS as compared TLS (P<0.05). Conclusion The operation of hand-assisted laparoscopic splenectomy plus portal-azygous disconnection would retain the minimally invasive advantages,.but also reduced the difficulty of surgery. It was safety and reliable, worthy of clinical application.

Key words: Hand-assisted laparoscope, Splenectomy, Portal-azygous disconnection