Comparison Of Operaction Effect To Laparoscopic And Conventional Open Treatment Of Portal Hupertension And Hypersplenism

Objective:To investigate the safety ang feasibility of laparoscopic treatment in lower esophageal and pericardial varices,splenomegaly and hypersplenism which caused by portal hypertension (PHT) by compared with that of the conventional surgical treatment.Methods: We retrospectively study from March 2004 to Octobler 2010, 32 patients whom were diagnosed as portal hypertension and serious gastroesophageal varices in our center received LS + ED, and 30 patients whom were diagnosed portal hypertension and serious gastroesophageal varices received the open procedure at random selection in contemporarly.Comparison of factors including:operation time(min),incision length(cm),intraoperative blood loss(ml),the amount of blood used,the number of analgesic,postoperative fasting time(h),complicationsand(bleeding,death,ascites,pleural effusion,pneumonia,wound infection,portal vein thrombosis,hepatorenal syndrome) and so on. Using statistical software SPSS13.0 for statistical analysis,statistical methods:two independent sampales t test and X2test,default p<0.05 as statistically significant difference..Result: LS+ED`s operation time and intraoperative blood loss were more than that of the OS+ED`s (p<0.05).LS+ED`s number of postopoerative analgesia,length of incision and post-operation fasting period were shorter than that of the OS+ED`s(p<0.05).The cost of hospitalization, postoperative hospital stay, postoperative complication rate, the usage amount of red blood cells,platelets,plasma was no significant difference between the two group.Conclusions:LS+ED compared with OS+ED has shorter post-operation fasting period shorter length of incision and less number of postopoerative analgesia advantages, and it is a safe and feasible operation method.