The clinical research of laparoscopic modified sugiura procedure for the treatment of portal hypertension

【Objective】To study the methods and skills of laparoscopic modified sugiura procedure for the treatment of portal hypertension in cirrhotic patients and evaluate the feasibility, safety and operation effect of this procedure.【Methods】15 patients diagnosed as cirrhosis, portal hypertension received laparoscopic modified sugiura were reviewed retrospectively from March 2004 to August 2010,. the change of blood routine,degree of gastroesophageal varices, rebleeding was observed.Statistical software SPSS 13.0 was used for statistical analysis,default P 0.05 as statistically significant difference. 【Results】The operations were successful in all 15 patients,and no case was transferred to opening appendectomy. The average operative time was 6.07 hours, Mean blood loss was 672ml.The patients recovered well and without any severe complications except 1 died after surgery, blood cells restored normal(P 0.05), degree of gastroesophageal varices were reduced(P 0.05), mean follow-up time was 36months, one patient passed black stool after 2 years. 【Conclusions】Laparoscopic modified Sugiura procedure is feasible and safe, laparoscopic modified Sugiura procedure offers a new alternative for the treatment of portal hypertension, but this procedure should be performed in the team with good experience in laparoscopic surgery and skills.