关键词: 肝硬化, 门静脉高压症, 腹腔镜脾切除加贲门食管周围血管离断术

Abstract: 【Abstract】〓Objective〓To explore the treatment effect and complication therapy of laparoscopic splenectomy and esophagogastric devascularization for portal hypertension. Methods〓The clinical data of 38 cases from January 2010 to March 2014 who underwent laparoscopic splenectomy and esophagogastric devascularization for liver cirrhosis and portal hypertension were analyzed. Results〓All operations in this study were performed successfully. The operation time was 238.42±75.25 min,.the blood loss during operation was 200.53±90.81 ml,.the total hospital stay was 22.71±7.19 d,.the postoperative hospital stay was 12.18±4.49 d,.and the recovery time of gastrointestinal function was 3.45±0.89 d. There were no significant differences in liver function between the preoperative and postoperative data. While the postoperative levels of PLT were significantly higher (48.2±19.7 vs. 227.5±80.5,P<0.001). During the follow-up, rebleeding occurred in 6 cases, hepatic encephalopathy occurred in 3 cases,.portal vein thrombosis occurred in 12 cases,.pancreas abscess occurred in 1 case..All complications were treated in conservative way and the patients got recovery. Conclusion〓Laparoscopic splenectomy and esophagogastric devascularization is a safe,.effective,.minimally invasive procedure for the management of portal hypertension.

Key words: Liver cirrhosis, Portal hypertension, Laparoscopic splenectomy and esophagogastric devascularization