二级脾蒂分离法腹腔镜改良Sugiura手术治疗门静脉高压症

Laparoscopic modified sugiura procedure by dissecting secondary braches of splenic pedicle in patients suffering from portal hypertension

目的探讨二级脾蒂分离法腹腔镜改良Sugiura手术治疗门静脉高压症的可行性和安全性。方法对肝硬化门静脉高压症、脾肿大、脾功能亢进15例患者采用手助腹腔镜行改良Sugiura手术。结果本组15例腹腔镜改良Sugiura手术,手术均获得成功,平均手术时间为256.5min,平均出血量193mL。术后全组均未发生严重并发症,无手术死亡,术后平均住院日为10.2d。结论腹腔镜改良手术是安全可行的,降低了手术难度,有效地控制了出血,是值得选择的门静脉高压症的微创手术方式。

【Objective】To investigate the feasibility and safety of Laparoscopic modified Sugiura procedure by dissecting secondary braches of splenic pedicle in patients suffering from portal hypertension.【Methods】15 patients suffering from portal hypertension underwent Laparoscopic modified Sugiura procedure by dissecting secondary braches of splenic pedicle.【Results】Laparoscopic modified Sugiura procedure by dissecting secondary braches of splenic pedicle were performed safely with no conversion to open surgery and no severe postoperative complication.Mean surgical time was 256.5 minutes.Mean blood loss 193 mL and mean postoperative hospital stay was 10.2 days.【Conclusions】Laparoscopic modified Sugiura procedure by dissecting secondary braches of splenic pedicle in patients suffering from portal hypertension is safe and feasible.