Clinical Study of Laparoscopic Devascularization Combined with Endoscopic Esophageal Varix Ligation and Laparoscopic Modified Sugiura Surgery for Treatment of Portal Hypertension
FENG Yi-bin, ZHANG Guang-ya, BIE Yu-kun,et al
Department of General Surgery, the Ankang Central Hospital, Shaanxi 725000, Ankang, Shaanxi, China
Abstract：【Objective】To explore the clinical effect of laparoscopic devascularization combined with endoscopic esophageal varix ligation(EVL) and laparoscopic modified Sugiura surgery for the treatment of portal hypertension.【Methods】A total of 103 patients with portal hypertension was randomly divided into two groups: ,the Group A (underwent laparoscopic devascularization combined with endoscopic esophageal varix ligation(EVL) (n=55) and the Group B (underwent laparoscopic Sugiura operatio(n=48). The operation time, postoperative anal exhaust time, postoperative hospital stay, liver function Child-Pugh grade and esophageal varices were compared between the two groups.【Results】Compared with those of the Group B, the operative time, hospital stay and postoperative exhaust time in the Group A were shorter ,the difference was statistically significant (P<0.05) and there was no significant difference in blood loss and volume of drainage between the two groups (P>0.05). Six months after the operation, the esophageal varices degree and Child-Pugh classification in the two groups were better than that of pre-operation. Patients with Child-Pugh classification grade A in the Group A were more than that in the Group B (P=0.0300), and the incidence of hepatic encephalopathy was lower than that of the Group B, the difference was statistically significant (P<0.05).【Conclusion】Laparoscopic devascularization combined with endoscopic esophageal varix ligation(EVL) for the treatment of portal hypertension has advantages of shorter operation time, better recovery of liver and intestinal function with lower incidence of hepatic encephalopathy after operation, It is worthy of clinical popularization and application.
2016, Vol. 33 
