| Objective:In the laparoscopic technique,the use of a new surgical program for the treatment of lower esophageal and gastric varices,splenomegaly,hypersplenism caused by cirrhosis of the portal hypertension,compared to the effect of the new scheme and traditional programs,revealing the performance of the new scheme in terms of safety and feasibility.Methods:Thirty-five patients with portal hypertension were enrolled in the Department of General Surgery and for the treatment of portal azygous disconnection from 2002 to 2016.The patients were divided into two groups:Among them,the laparoscopic group of 15 patients underwent totally laparoscopic portal azygous disconnection combined with splenectomy,the conventional laparotomy group of 20 cases underwent laparotomy of portal azygous disconnection combined with splenectomy.Through the average hospitalization time,operating time,intraoperative bleeding loss,operation cost,extubation time,seroma volume out of drainage ube in postoperative 2 weeks,exhaust time interval changes,hematological and biochemical examination:comparing the changes of liver function,albumin,blood glucose,platelet,leukocyte and hemoglobin after the operation for 3 days between the two groups.Results:There were no significant differences in cost,hemoglobin and platelet changes between the two surgical methods.The average hospitalizzation time,intraoperative blood loss,extubation time,postoperative seroma volume out of 3d drainage tube and exhaust time were better than those of laparotomy(p<0.05).During the perioperative period,alanine aminotransferase,total bilirubin,albumin,blood glucose and white blood cell changes in the laparoscopic group were less than the laparotomy group(p<0.05);In the operating time laparoscopic group is better than the laparotomy group.Conclusion:totally laparoscopic portal azygous disconnection combined with splenectomy is superior to traditional laparotomy of portal azygous disconnection combined with splenectomy. |
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