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Updated: Sep 19, 2025
Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Paradoxical roles of spontaneous portosystemic shunts and their management strategy in splenectomy with
1Department of Hepatobiliary Surgery, the People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750002, China Department of Hepatobiliary Surgery, the General Hospital of Ningxia Medical University, Yinchuan 750003, China.
Abstract:
Spontaneous portosystemic shunt (SPSS) is an important pathological feature in the progression of cirrhotic portal hypertension and acts as the body's compensatory mechanism for reducing portal hypertension. Recent research results show that SPSS is an important link in the development of cirrhosis into the decompensated stage and is also the main cause of hepatic encephalopathy after splenectomy combined with devascularization. Therefore, during splenectomy combined with devascularization, it is necessary to decide on treatment measures such as disconnection, flow limitation, or retention of the distal side as a selective shunt channel according to its location and shunt volume.
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