Effect Of Total Laparoscopic Verse Open Esophagogastric Devascularization With Splenectomy In Portal Hypertension

Objective:To explore weather total laparoscopic esophagogastric devascularization with splenectomy for portal hypertension is safety and effectiveness or not.Methods:CNKI,Wan Fang Data Knowledge Service Platfo,VIP,PubMed,Cochrane Library,Science Direct were used to search the literature on laparoscopic surgery and open surgery for portal hypertension.We use RevMan 5.3 for Meta analysis.Results:A total of 9 articles were included involving 901 patients,473 LS and 428 OS.Meta analysis showed that LS was superior to OS in blood loss(WMD=-168.81 ml,P<0.00001),postoperative hospital stay(WMD=-2.33 d,P=0.008)and postoperative complications(RR=0.47,P<0.00001),and there was no statistical significance between them in operative time(WMD=30.45 min,P=0.17)and hospitalization costs(WMD=-0.22 K,P=0.67).Conclusion:Compared with open surgery,laparoscopic and open esophagogastric devasculariz ation with splenectomy have the andantages of less blood loss,shorter postoperative hospital stay and less postoperative complications.It should be recommended in larg e hepatobiliary surgery center.