Laparoscopic Splenectomy Combined with Pericardial Devascularization In 10 Cases

Objective To investigate the technique manipulation of Laparoscopic splenectomy combined with pericardial devascularization.Methods From May 2007 to June 2008,10 patients with cirrhotic portal hypertension-induced and upper gastrointestinal bleeding were treated with LS combined with pericardial devascularization.Results The LS combined with pericardial devascularization was successfully performed on all 10 patients.The mean operation time was 270 min(range,210～350 min). The mean intraoperative blood loss was 450 ml(range,200～800 ml).No operative complications were observed.No mortality occurred.The mean postoperative hospital stay was 9.5 days(range 7to 15 days). Follow up observations revealed no recurrent variceal hemorrhage.Conclusions LS combined with pericardial devascularization is a safe,minimally invasive and feasible modality for the treatment of cirrhotic portal hypertension.