ABSTRACT
Objective To explore the indications,surgical techniques and clinical effects of laparoscopic splenectomy on patients with portal hypertension. Methods Analysis the clinical data of 32 patients of portal hypertenision with laparoscopic splenectomy and open splenectomy from March 2006 until June 2009. Results The effectiveness of the procedures for portal hypertension was evaluated.Among 16 patients with LS, 2 patients were converted to open surgery. There is no significant difference with operatative time, blood loss and hospital fees between the two groups, the laparoscpy group had the shorter mean hospitalization, fasting and draining time. Conclusions If there are enough preparation preoperation, skillful laparoscopic technique and micromesh manipulation during operation,laparoscopic splenectomy is a minimally invasive and safe technique in the patients with lower-grade to medium varicose veins.
ABSTRACT
Objective The value of using partial spleen embolization (PSE) in the treatment of hyper-splenism. Methods Using mixed antibiotic 60% meglucamine diatrizoate, we injected tiny gelatinsponges as embolus to 34 cases of hypersplenism for making spleen artery embolization between 1989 and 2001. Results In the 34 cases of hypersplenism who used PSE, the 26 cases had gained CR(76.5%)and the 6 cases had gained PR(17.6%). The overall effective rate was 94.1%. Tracing the 26 cases who had gained CR, there were 7 cases relapsed. And the recurrence rate was 26.9%. Conclusion The using areas of PSE are wide. And the curative effect is exact. PSE can completely replace the operation of splenectomy with mastering skill and attending complication.