Application of Laparoscopic Splenectomy Combined with Pericardial Devascularization in Treatment of Portal Hypertension

Objective To explore the methods,clinical effects,and application value of laparoscopic splenectomy combined with pericardial devascularization.Methods The clinical data of 23 patients with liver cirrhosis and portal hypertension who performed laparoscopic splenectomy combined with pericardial devascularization between july 2009 and july 2012 in our hospital were analyzed retrospectivly.Results In 23 cases,2 cases were converted laparotomy due to bleeding,21 cases were successfully performed laparoscopic splenectomy combined with pericardial devascularization.The operative time was 230-380 minutes(average 290 minutes).The intraoperative blood loss was 300-1 500 mL(average 620 mL).The postoperative fasting time was 1-3 days(average 2 days).The postoperative hospital stay was 8-14 days(average 10 days).Conclusion Laparoscopic splenectomy combined with pericardial devascularization is a feasible,effective,and safe procedure as well as minimally invasive hence is applicable for patients with portal hypertension and hypersplenism.