腹腔镜辅助下微出血实施选择性贲门周围血管离断术

doi:10.16260/j.cnki.1009-2188.2017.04.001

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (4): 241-244 DOI: 10.16260/j.cnki.1009-2188.2017.04.001

Orginal Research

The Laparoscopic Assisted Selective Pericardia Devascularization with Minor Bleeding

WANG Chun-xi1,2,LIU Qing2,LIU Zhi-wei2,WANG Xian2,LU Can-rong1,ZHANG Yan-jun1

1.Department?of?General?Surgery,Hainan?Branch?of?Chinese?PLA?General?Hospital,Sanya57200,Hainan,China; 2.Department?of?General?Surgery,Chinese?PLA?General?Hospital,Beijing100853,China

Abstract
Figure/Table
References
Related Citation (0)

Download:

HTML

PDF (192KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo summarize the experiences of the laparoscopic assisted selective pericardia devascularization with minor bleeding.MethodsThere were 48 cases enrolled in this study during January 2008 to January 2014. All cases receivedlaparoscopic assisted selective pericardia devascularization with minor bleeding. The clinical data were collected including safety managements, operative methods, operating time, postoperative complication, and follow-up results.ResultsAll operative procedures were done successfully and smoothly without any conversion to open operation. The operating time was 90～180 min(136.56±27.02 min), the operative blood loss was 20～50ml(30.41±8.12 ml). There were 7 cases occurred operative complications, including 3 cases with pulmonary complications, 2 cases with pylethrombophlebitis, 1 case with subphrenic abscess, and 1 case with pancreas leakage. All cases were followed up for at least 2 years. The pericardia varicosity gradually returned to palliation, or even disappeared. There was no death or recurrence during the followed-up period.ConclusionIt is an effective procedure of the laparoscopic assisted selective pericardia devascularization with minor bleeding, but the following is important when the operations are carried out, such as full assessments, standard endoscopic techniques, suitable selections of the precision cutting closure devices, and one-time closure of the splenic and pericardia vessels.

Received: 20 March 2017 Published: 15 May 2018

Corresponding Authors: LIU qing

	Service
	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG?Chun-xi

Cite this article:

WANG?Chun-xi. The Laparoscopic Assisted Selective Pericardia Devascularization with Minor Bleeding[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 241-244.

URL:

http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.04.001 OR http://www.surgerychina.com/EN/Y2017/V21/I4/241

[1]	张安澎, 向俊西, 刘鹏, 等. 肝硬化门静脉高压症腹腔镜与开腹治疗的临床对照研究[J]. 腹部外科,2016,29(3):174-178.
[2]	Laurence JM, Tran PD, Richardson AJ, et al. Laparoscopic or open cholecystectomy in cirrhosis: a systematic review of outcomes and meta-analysis of randomized trials[J]. HPB (Oxford), 2012,14(3):153-161.
[3]	Wang WJ, Tang Y, Zhang Y, et al. Prevention and treatment of hemorrhage during laparoscopic splenectomy anddevascularization for portal hypertension[J]. J Huazhong Univ Sci Technolog Med Sci, 2015,35(1):99-104.
[4]	Liu Y, Zhao L, Tang Y, et al. Laparoscopic versus open splenectomy and devascularization for massive splenomegaly due toportal hypertension[J]. J Huazhong Univ Sci Technolog Med Sci, 2016,36(6):876-880.
[5]	Kawanaka H, Akahoshi T, Kinjo N, et al. Laparoscopic splenectomy with technical standardization and selection criteria for standard or hand-assisted approach in 390 patients with liver cirrhosis and portal hypertension[J]. J Am Coll Surg, 2015, 221(2):354-366.
[6]	Vanderlinden K, Van De Winkel N, De Backer A, et al. Early experience with single-incision laparoscopic surgery for the placement of a gastrostomy in a 10-year-old girl: a case report[J]. J Med Case Rep, 2012,6:375-378.
[7]	Yu H, Guo S, Wang L, Dong Y, et al. Laparoscopic splenectomy and esophagogastric devascularization for liver cirrhosis and portal hypertension is a safe, effective, and minimally invasive operation[J]. J Laparoendosc Adv Surg Tech A,2016,26(7):524-530.
[8]	李小琴, 菅志远, 赵艳梅, 等. 门静脉高压断流术后再出血的临床分析[J]. 中国现代手术学杂志,2015,19(4):255-259.
[9]	刘清波, 王卫东, 林杰, 等. 3D腹腔镜在贲门周围血管离断术治疗门静脉高压症中的应用[J]. 中国微创外科杂志,2016,16(7):624-628.
[10]	郭辉, 陈杰, 宋劲松. 腹腔镜脾切除联合贲门周围血管离断术18例体会[J]. 腹部外科2016,29(3):197-200.
[11]	Hong D, Cheng J, Wang Z, et al. Comparison of two laparoscopic splenectomy plus pericardial devascularization techniques formanagement of portal hypertension and hypersplenism[J]. Surg Endosc, 2015,29(12):3819-3826.
[12]	王磊, 徐庆祥, 丁义涛. 术前肝脏功能评估在肝脏手术方案设计中的应用价值[J]. 东南大学学报(医学版) ,2013,32(6):776- 780.
[13]	刘新文. 腹腔镜下巨脾切除联合贲门周围血管离断术治疗肝硬化门静脉高压30例[J]. 中国现代普通外科进展,2016,19(4):310-312.
[14]	Bouziane Z, Ghissassi B, Bouayad M, et al. Successful endovascular management of postoperative arterio portal fistula[J]. Ann Vasc Surg, 2011,25(3):385.e1-e3.
[15]	Villagrán R, Smith G, Rodriguez W, et al. Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy: incidence, analysisand follow-up in 1236 consecutive cases[J]. Obes Surg,2016,6(11):2555-2561.
[16]	Hama T, Takifuji K, Uchiyama K, et al. Laparoscopic splenectomy is a safe and effective procedure for patients with splenomegaly due to portal hypertension[J]. J Hepatobiliary Pancreat Surg, 2008,15(3):304-309.