title: Laparoscopic splenectomy and porto-azygos disconnection: clinical research in the treatment of portal hypertension.
abstract: To investigate the safety and efficacy of laparoscopic splenectomy and portaazygous devascularization, we studied laparoscopic splenectomy and porto-azygos devascularization patients within the peri-operative period. Clinical data and curative effect are detailed alongside statistical analysis. The laparoscopic splenectomy and porto-azygos devascularization operation time was 2.56 + 0.62 hours. The intraoperative bleeding and anal exhaust time was 149.5 + 32.7ml 3.47 + 1.32 days, and the hospitalization time was 5.05 + 1.22 days. When the spleen volume was greater than or equal to 1.5 liters, the rate of open abdominal surgery increased significantly. After 1, 2, 3, and 4 years of follow-up, cumulative recurrence bleeding rates were 0, 5.20%, 9.98%, and 15.83%, respectively. Laparoscopic splenectomy and pericardial devascularization is safe, effective, and feasible, and it can be confirmed by enhanced spiral computed tomography (CT). Whether spleen volume greater than 1.5L is suited to laparoscopic surgery requires further research.
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.forename: Wang
authors.initials: W
authors.lastname: Fengyong
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.forename: Sun
authors.initials: S
authors.lastname: Yuanshui
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.lastname: Zhangbing
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.forename: Wu
authors.initials: W
authors.lastname: Yuewu
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.forename: Zhan
authors.initials: Z
authors.lastname: Weihua
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.forename: Shi
authors.initials: S
authors.lastname: Jianfeng
authors.affiliation: General Surgery of Zhejiang Provincial Tongde Hospital No. 234 Gu Cui R.d., Hangzhou City 310012.
authors.forename: Wu
authors.initials: W
authors.lastname: Qi
authors.affiliation: General Surgery of Zhejiang Provincial People's Hospital.
authors.forename: Liu
authors.initials: L
authors.lastname: Jinming
authors.affiliation: General Surgery of Zhejiang Provincial People's Hospital.
authors.forename: Xu
authors.initials: X
authors.lastname: Ji
authors.affiliation: General Surgery of Zhejiang Provincial People's Hospital.
authors.forename: Ye
authors.initials: Y
authors.lastname: Zaiyuan
keywords: Laparoscopic operation; devascularization; open operation; portal hypertension; splenectomy