[Efficacy of splenectomy plus selective pericardial devascularization under endoscope in treatment of advanced schistosomiasis patients with portal hypertension and hypersplenism].

OBJECTIVE

To evaluate the efficacy of splenectomy plus selective pericardial devascularization under endoscope in the treatment of advanced schistosomiasis patients with portal hypertension and hypersplenism so as to explore the minimally invasive and safer surgical treatment.

METHODS

A secure splenectomy was performed with laparoscope and its supporting devices, and at the same time, the ligation of the left gastric vein and the ligation of esophageal vein perforating vertically into the esophagus were also performed in 14 advanced schistosomiasis patients with portal hypertension and hypersplenism.

RESULTS

Among the 14 patients, the splenic artery was separated and clipped before the treatment of splenic pedicle. One patient was of conversion to open laparotomy for the splenic vein rupture bleeding in the separation. There was no death.

CONCLUSION

The operation of splenectomy plus selective pericardial devascularization under endoscope is effective, truly minimally invasive, and safe in the treatment of advanced schistosomiasis patients with portal hypertension and hypersplenism.