Modified laparoscopic pyloroplasty added to laparoscopic splenectomy and azygoportal disconnection prevents postoperative gastroparesis / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 847-850, 2017.
Article
in Chinese
| WPRIM
| ID: wpr-666813
ABSTRACT
Objective To evaluate the feasibility and safety of modified laparoscopic pyloroplasty (LP) during laparoscopic splenectomy and azygoportal disconnection (LSD) for the prevention of postoperative gastroparesis.Methods A total of 31 cirrhotic patients with bleeding portal hypertension admitted to our department between Jan 2015 and Aug 2015 were retrospectively reviewed.Patients were divided into LP group (n =14) and non-LP group (n =17).Results One month postoperatively,the incidence of bloating was significantly lower in the LP group than in the non-LP group [21% vs.88%,P <0.05].Three months postoperatively,the LP group had significantly lower incidences of nausea (0 vs.35%,P < 0.05) and bloating (14 % vs.76%,P < 0.05) than the non-LP group.The incidence of gastric retention confirmed by electronic gastroscopy at 3 and 6 months postoperatively in the LP group was significantly lower than that in the non-LP group (14% vs.94%,P < 0.01;14% vs.88%,P < 0.01,respectively).Conclusion It is safe,feasible and with good therapeutic effect for modified laparoscopic pyloroplasty during laparoscopic splenectomy and azygoportal disconnection for the prevention of postoperative gastroparesis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
Chinese Journal of General Surgery
Year:
2017
Type:
Article
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