Laparoscopic splenectomy for the treatment of gastric varices secondary to sinistral portal hypertension.
Portal hypertension presents significant challenges to the laparoscopic surgeon. Here we review the case of a successful laparoscopic splenectomy in a patient with sinistral portal hypertension. The value of preoperative splenic artery embolization is highlighted.
Jaroszewski
D E
DE
Department of Surgery, Mayo Clinic Scottsdale, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Schlinkert
R T
RT
Gray
R J
RJ
D000328:Adult; D004621:Embolization, Therapeutic; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D010535:Laparoscopy; D008297:Male; D009503:Neutropenia / Q000150:complications; D013156:Splenectomy / Q000379:methods*; D013157:Splenic Artery / Q000601:surgery; D013163:Splenomegaly / Q000209:etiology / Q000601:surgery*