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Updated: Jun 16, 2026
Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Total laparoscopic versus open splenectomy and esophagogastric devascularization in the management of portal
Zheng Xin1, Liu Qingguang, Yao Yingmin
1Department of Hepatobiliary Surgery, The First Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China. paulzheng@stu.xjtu.edu.cn
Background/Aim:
Total laparoscopic splenectomy (LS) + esophagogastric devascularization (ED) has been accepted as a safe treatment for patients with portal hypertension and serious gastroesophageal varices in China. This study was carried out to determine whether total LS + ED is more advantageous than the open procedure in the management of portal hypertension.
Methods:
From February 2007 to July 2008, 24 patients were diagnosed with portal hypertension and serious gastroesophageal varices in our center. Seven patients underwent total LS + ED and 17 patients received the open procedure. Results and outcomes were compared retrospectively.
Results:
All operations were performed successfully. The operative time was similar in both groups (p = 0.355 > 0.05). The intraoperative blood loss was obviously less in the laparoscopic group (p = 0.001 < 0.05). Postoperative hospital stay was not different among the groups (p = 0.079 > 0.05), but this was mainly due to one complicated case in the laparoscopic group.
Conclusions:
Although LS + ED entails meticulous technical preparation, it has the advantage of minimally invasive surgery and offers a good alternative for the management of portal hypertension.
