Abstract:
Objective To explore the clinical effect of laparoscopic splenectomy in the treatment of liver cirrhotic portal hypertension.
Methods 66 patients with cirrhotic portal hypertension in our hospital from July 2016 to July 2019 were retrospectively analyzed. According to the different operative methods, they were divided into the laparoscopic group and the open group with 33 cases in each group. Statistical software SPSS 21.0 was used for data analysis. Perioperative indicators, postoperative complications and liver function indicators were observed and compared between the two groups.
Results (1)Laparoscopic group was superior to open group in terms of intraoperative bleeding volume, gastrointestinal peristalsis recovery time, drainage volume and length of hospital stay (P<0.05), and the operation time of open group were shorter than the laparoscopic group(P<0.05). (2)The complication incidence of the laparoscopic group was lower(24.2% vs. 54.5%)than that of the open group (P<0.05). (3)The improvement of liver function in laparoscopic group was better than that in open group on 2 weeks after operation (P<0.05). (4)Two weeks after operation, the diameter, velocity and flow of portal vein system in two groups were better than that in one day before operation (P<0.05).
Conclusion Laparoscopic splenectomy has the advantages of less bleeding, faster recovery, less incidence of complications, good short-term curative effect, safety and feasibility, and is worthy of promotion in the treatment of liver cirrhotic portal hypertension.
Key words:
Liver cirrhosis,
Hypertension, portal,
Laparoscopes,
Splenectomy,
Liver function
Xiucai Yin, Hui Wang. Clinical effect of laparoscopic splenectomy in the treatment of liver cirrhotic portal hypertension[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(03): 314-317.