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The Application of Proximal Splenic Vein Ligation to Prevent Portal Vein Thrombosis in Laparoscopic Splenectomy Plus Pericardial Devascularization Surgery

Author(s): Kai Jiang, Weiding Wu, Yuanbiao Zhang, Hongguo Yang, Zhiming Hu

Objective: To investigate the application of proximal splenic vein (SV) ligation in laparoscopic splenectomy plus pericardial devascularization (LSPD) surgery.

Methods: From January 2017 to December 2018, 31 patients with portal hypertension of liver cirrhosis in Zhejiang Provincial people’s Hospital were treated with LSPD surgery with the ligation of proximal SV.

Results: All the 31 patients were performed without any transfer to open operation. The operation time were 139.35 ± 19.48 min, blood loss were 138.06 ± 54.49 ml. Postoperative hospital stay (PHS) was 8.26 ± 1.59 days. There were 4 patients with postoperative portal vein thrombosis (PVT), among them 2 patients were degree I and 2 patients were degree II. There are no severe postoperative PVT cases. There were no abdominal infection, no pancreatic leakage, no abdominal hemorrhage, no liver failure or no upper gastrointestinal bleeding cases.

 

Conclusion: LSPD combined with ligation of proximal SV is safe and feasible, and short-term follow-up can effectively prevent the formation of PVT after operation.

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