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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Transumbilical single-incision laparoscopic splenectomy plus pericardial devascularization using conventional
Shuo-Dong Wu1, Ying Fan, Jing Kong
1Departments of Minimally Invasive Surgery and the Second General Surgery, Sheng Jing Hospital of China Medical University, Shenyang City, Liaoning Province, People's Republic of China.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|December 11, 2012
Summary
Laparoendoscopic single-site surgery (LESS) for splenectomy plus pericardial devascularization is a feasible new technique for portal hypertension. This minimally invasive approach demonstrated safety and good cosmetic outcomes in a small patient group.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Gastroenterology
Background:
- Laparoendoscopic single-site surgery (LESS) is emerging for intra-abdominal procedures.
- Its application in portal hypertension management is limited.
- This study introduces a novel LESS technique for this patient population.
Purpose of the Study:
- To describe a new technique for LESS splenectomy plus pericardial devascularization.
- To evaluate the feasibility and short-term outcomes of this procedure in patients with portal hypertension.
Main Methods:
- A retrospective analysis of 5 patients undergoing LESS splenectomy plus pericardial devascularization from January 2010 to April 2012.
- Focus on surgical techniques and immediate outcomes.
Main Results:
- All 5 operations were successfully completed.
- Mean operative time was 252 minutes, with average blood loss of 290 mL.
- Patients experienced a mean hospital stay of 8.2 days with no complications and good cosmetic results.
Conclusions:
- LESS splenectomy plus pericardial devascularization is a feasible surgical option for portal hypertension.
- The technique, when performed by experienced surgeons, offers safety comparable to conventional laparoscopic surgery.