Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension
Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effe...
Ausführliche Beschreibung
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| Autor*in: |
Kobayashi, Takashi [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2017 |
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| Schlagwörter: |
Hand-assisted laparoscopic surgery |
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| Anmerkung: |
© The Author(s). 2017 |
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| Übergeordnetes Werk: |
Enthalten in: Surgical case reports - Berlin : SpringerOpen, 2015, 3(2017), 1 vom: 23. Okt. |
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| Übergeordnetes Werk: |
volume:3 ; year:2017 ; number:1 ; day:23 ; month:10 |
| Links: |
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| DOI / URN: |
10.1186/s40792-017-0387-y |
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| Katalog-ID: |
SPR037754386 |
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| 520 | |a Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. | ||
| 650 | 4 | |a Esophageal varices |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Gastric varices |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Portal hypertension |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hand-assisted laparoscopic surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Laparoscopic devascularization |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hassab’s procedure |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Miura, Kohei |4 aut | |
| 700 | 1 | |a Ishikawa, Hirosuke |4 aut | |
| 700 | 1 | |a Soma, Daiki |4 aut | |
| 700 | 1 | |a Zhang, Zhengkun |4 aut | |
| 700 | 1 | |a Ando, Takuya |4 aut | |
| 700 | 1 | |a Yuza, Kizuki |4 aut | |
| 700 | 1 | |a Hirose, Yuki |4 aut | |
| 700 | 1 | |a Katada, Tomohiro |4 aut | |
| 700 | 1 | |a Takizawa, Kazuyasu |4 aut | |
| 700 | 1 | |a Nagahashi, Masayuki |4 aut | |
| 700 | 1 | |a Sakata, Jun |4 aut | |
| 700 | 1 | |a Kameyama, Hitoshi |4 aut | |
| 700 | 1 | |a Wakai, Toshifumi |4 aut | |
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10.1186/s40792-017-0387-y doi (DE-627)SPR037754386 (SPR)s40792-017-0387-y-e DE-627 ger DE-627 rakwb eng Kobayashi, Takashi verfasserin aut Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. Esophageal varices (dpeaa)DE-He213 Gastric varices (dpeaa)DE-He213 Portal hypertension (dpeaa)DE-He213 Hand-assisted laparoscopic surgery (dpeaa)DE-He213 Laparoscopic devascularization (dpeaa)DE-He213 Hassab’s procedure (dpeaa)DE-He213 Miura, Kohei aut Ishikawa, Hirosuke aut Soma, Daiki aut Zhang, Zhengkun aut Ando, Takuya aut Yuza, Kizuki aut Hirose, Yuki aut Katada, Tomohiro aut Takizawa, Kazuyasu aut Nagahashi, Masayuki aut Sakata, Jun aut Kameyama, Hitoshi aut Wakai, Toshifumi aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 3(2017), 1 vom: 23. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:3 year:2017 number:1 day:23 month:10 https://dx.doi.org/10.1186/s40792-017-0387-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2017 1 23 10 |
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10.1186/s40792-017-0387-y doi (DE-627)SPR037754386 (SPR)s40792-017-0387-y-e DE-627 ger DE-627 rakwb eng Kobayashi, Takashi verfasserin aut Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. Esophageal varices (dpeaa)DE-He213 Gastric varices (dpeaa)DE-He213 Portal hypertension (dpeaa)DE-He213 Hand-assisted laparoscopic surgery (dpeaa)DE-He213 Laparoscopic devascularization (dpeaa)DE-He213 Hassab’s procedure (dpeaa)DE-He213 Miura, Kohei aut Ishikawa, Hirosuke aut Soma, Daiki aut Zhang, Zhengkun aut Ando, Takuya aut Yuza, Kizuki aut Hirose, Yuki aut Katada, Tomohiro aut Takizawa, Kazuyasu aut Nagahashi, Masayuki aut Sakata, Jun aut Kameyama, Hitoshi aut Wakai, Toshifumi aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 3(2017), 1 vom: 23. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:3 year:2017 number:1 day:23 month:10 https://dx.doi.org/10.1186/s40792-017-0387-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2017 1 23 10 |
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10.1186/s40792-017-0387-y doi (DE-627)SPR037754386 (SPR)s40792-017-0387-y-e DE-627 ger DE-627 rakwb eng Kobayashi, Takashi verfasserin aut Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. Esophageal varices (dpeaa)DE-He213 Gastric varices (dpeaa)DE-He213 Portal hypertension (dpeaa)DE-He213 Hand-assisted laparoscopic surgery (dpeaa)DE-He213 Laparoscopic devascularization (dpeaa)DE-He213 Hassab’s procedure (dpeaa)DE-He213 Miura, Kohei aut Ishikawa, Hirosuke aut Soma, Daiki aut Zhang, Zhengkun aut Ando, Takuya aut Yuza, Kizuki aut Hirose, Yuki aut Katada, Tomohiro aut Takizawa, Kazuyasu aut Nagahashi, Masayuki aut Sakata, Jun aut Kameyama, Hitoshi aut Wakai, Toshifumi aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 3(2017), 1 vom: 23. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:3 year:2017 number:1 day:23 month:10 https://dx.doi.org/10.1186/s40792-017-0387-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2017 1 23 10 |
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10.1186/s40792-017-0387-y doi (DE-627)SPR037754386 (SPR)s40792-017-0387-y-e DE-627 ger DE-627 rakwb eng Kobayashi, Takashi verfasserin aut Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. Esophageal varices (dpeaa)DE-He213 Gastric varices (dpeaa)DE-He213 Portal hypertension (dpeaa)DE-He213 Hand-assisted laparoscopic surgery (dpeaa)DE-He213 Laparoscopic devascularization (dpeaa)DE-He213 Hassab’s procedure (dpeaa)DE-He213 Miura, Kohei aut Ishikawa, Hirosuke aut Soma, Daiki aut Zhang, Zhengkun aut Ando, Takuya aut Yuza, Kizuki aut Hirose, Yuki aut Katada, Tomohiro aut Takizawa, Kazuyasu aut Nagahashi, Masayuki aut Sakata, Jun aut Kameyama, Hitoshi aut Wakai, Toshifumi aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 3(2017), 1 vom: 23. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:3 year:2017 number:1 day:23 month:10 https://dx.doi.org/10.1186/s40792-017-0387-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2017 1 23 10 |
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10.1186/s40792-017-0387-y doi (DE-627)SPR037754386 (SPR)s40792-017-0387-y-e DE-627 ger DE-627 rakwb eng Kobayashi, Takashi verfasserin aut Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. Esophageal varices (dpeaa)DE-He213 Gastric varices (dpeaa)DE-He213 Portal hypertension (dpeaa)DE-He213 Hand-assisted laparoscopic surgery (dpeaa)DE-He213 Laparoscopic devascularization (dpeaa)DE-He213 Hassab’s procedure (dpeaa)DE-He213 Miura, Kohei aut Ishikawa, Hirosuke aut Soma, Daiki aut Zhang, Zhengkun aut Ando, Takuya aut Yuza, Kizuki aut Hirose, Yuki aut Katada, Tomohiro aut Takizawa, Kazuyasu aut Nagahashi, Masayuki aut Sakata, Jun aut Kameyama, Hitoshi aut Wakai, Toshifumi aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 3(2017), 1 vom: 23. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:3 year:2017 number:1 day:23 month:10 https://dx.doi.org/10.1186/s40792-017-0387-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2017 1 23 10 |
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Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension |
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Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. © The Author(s). 2017 |
| abstractGer |
Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. © The Author(s). 2017 |
| abstract_unstemmed |
Background Laparoscopic surgery for patients with portal hypertension is considered to be contraindicated because of the high risk of massive intraoperative hemorrhaging. However, recent reports have shown hand-assisted laparoscopic surgery for devascularization and splenectomy to be a safe and effective method of treating esophagogastric varices with portal hypertension. The aim of this study is to evaluate the efficacy of hand-assisted laparoscopic devascularization and splenectomy (HALS Hassab’s procedure) for the treatment of esophagogastric varices with portal hypertension. Case presentation From 2009 to 2016, seven patients with esophagogastric varices with portal hypertension were treated with hand-assisted laparoscopic devascularization and splenectomy in our institute. Four men and three women with a median age of 61 years (range 35–71) were enrolled in this series. We retrospectively reviewed the medical records for the perioperative variables, postoperative mortality and morbidity, and postoperative outcomes of esophagogastric varices. The median operative time was 455 (range 310–671) min. The median intraoperative blood loss was 695 (range 15–2395) ml. The median weight of removed spleen was 507 (range 242–1835) g. The conversion rate to open surgery was 0%. The median postoperative hospital stay was 21 (range 13–81) days. During a median 21 (range 3–43) months of follow-up, the mortality rate was 0%. Four postoperative complications (massive ascites, enteritis, intra-abdominal abscess, and intestinal ulcer) were observed in two patients. Those complications were treated successfully without re-operation. Esophagogastric varices in all patients disappeared or improved. Bleeding from esophagogastric varices was not observed during the follow-up period. Conclusion Although our data are preliminary, hand-assisted laparoscopic devascularization and splenectomy proved an effective procedure for treating esophagogastric varices in patients with portal hypertension. © The Author(s). 2017 |
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Hand-assisted laparoscopic Hassab’s procedure for esophagogastric varices with portal hypertension |
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https://dx.doi.org/10.1186/s40792-017-0387-y |
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Miura, Kohei Ishikawa, Hirosuke Soma, Daiki Zhang, Zhengkun Ando, Takuya Yuza, Kizuki Hirose, Yuki Katada, Tomohiro Takizawa, Kazuyasu Nagahashi, Masayuki Sakata, Jun Kameyama, Hitoshi Wakai, Toshifumi |
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Miura, Kohei Ishikawa, Hirosuke Soma, Daiki Zhang, Zhengkun Ando, Takuya Yuza, Kizuki Hirose, Yuki Katada, Tomohiro Takizawa, Kazuyasu Nagahashi, Masayuki Sakata, Jun Kameyama, Hitoshi Wakai, Toshifumi |
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2024-07-03T14:11:42.711Z |
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