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Liu Y, Zhao L, Tang Y, Zhang Y, Shi SC, Xie FX, Wan CD. Laparoscopic versus open splenectomy and devascularization for massive splenomegaly due to portal hypertension. ACTA ACUST UNITED AC 2016; 36:876-880. [PMID: 27924505 DOI: 10.1007/s11596-016-1678-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2016] [Revised: 10/19/2016] [Indexed: 10/18/2022]
Abstract
Although the clinical benefit of laparoscopic splenectomy and devascularization (LSD) has been elaborated in many studies, its application in massive splenomegaly remains controversial. We conducted a retrospective research to assess the curative efficacy of LSD for massive splenomegaly due to portal hypertension. Forty-seven patients with massive splenomegaly due to portal hypertension were enrolled in this study, and divided into two groups. Twenty-one patients underwent open splenectomy and devascularization (OSD) from June 2010 to October 2012 (OSD group). From March 2013 to February 2015, LSD was performed on 26 patients (LSD group). Perioperative variables were analyzed. Compared to OSD, LSD was associated with less blood loss (241.9±110.0 mL vs. 319.0±139.5 mL, P<0.05), more rapid resumption of oral diet (2.46±0.95 days vs. 3.76±1.09 days, P<0.05), and shorter postoperative hospital stay (5.35±1.65 days vs. 7.24±1.55 days, P<0.05). It was concluded that for patients with massive splenomegaly due to portal hypertension, LSD is feasible and as safe as OSD.
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Affiliation(s)
- Yao Liu
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Long Zhao
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yong Tang
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Yu Zhang
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Shen-Chao Shi
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Fu-Xiao Xie
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Chi-Dan Wan
- Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
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Nyilas Á, Paszt A, Simonka Z, Ábrahám S, Borda B, Mán E, Lázár G. Laparoscopic Splenectomy Is a Safe Method in Cases of Extremely Large Spleens. J Laparoendosc Adv Surg Tech A 2015; 25:212-6. [DOI: 10.1089/lap.2014.0615] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Affiliation(s)
- Áron Nyilas
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - Attila Paszt
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - Zsolt Simonka
- Department of Surgery, University of Szeged, Szeged, Hungary
| | | | - Bernadett Borda
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - Eszter Mán
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - György Lázár
- Department of Surgery, University of Szeged, Szeged, Hungary
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Prevention and treatment of hemorrhage during laparoscopic splenectomy and devascularization for portal hypertension. ACTA ACUST UNITED AC 2015; 35:99-104. [DOI: 10.1007/s11596-015-1396-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Revised: 11/18/2014] [Indexed: 12/11/2022]
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