[Endovideosurgical methods of treatment of portal hypertension syndrome].
Laparoscopic devascularization of the stomach with ligation and transection of the left gastric vein and short gastric veins, ligation of the spleen artery was performed in patients with portal hypertension caused by intrahepatic (2 cases) and subhepatic (1 case) block in order to prevent esophageal bleedings. The first experience with treatment of portal hypertension using endovideosurgical technology has shown that the patients endure the laparoscopic operations satisfactorily even against the background of liver cirrhosis and hepatic failure. Laparoscopic devascularization of the stomach with the transection of the main tributaries to varicose veins of the esophagus represents an effective and minimally traumatic method of prophylactics of esophageal bleedings especially when shunting operations are not possible. Endovideosurgical operations should be considered indicated to patients with pronounced hepatic failure and to patients with extended thromboses and cavernous transformation of the portal system vessels when they can not be used for portal anastomoses.
Daian
Z A
ZA
Khokhlov
A V
AV
D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008875:Middle Aged; D020535:Video-Assisted Surgery / Q000295:instrumentation*