Abstract
Objective To evaluate the clinical efficiency of Tunnel-building laparoscopic splenectomy and pericardial devascularization (TLSPD) in the treatment of portal hypertension. Methods The clinical data of patients who underwent TLSPD from 2014 Jan to 2017 Jun were retrospectively studied. The operative time, intraoperative blood loss, conversion rate, postoperative complication rate, and the follow-up data analyzed. Result 466 patients underwent surgery successfully. The operative time was (145.0±55.0)min, and the intraoperative blood loss was (60.0±29.0)ml. There were 6 conversions to open surgery. The complication rate was 4.3%. No deaths occurred during the perioperative period. Variceal rebleeding occurred in 9 patients and portal vein thrombosis occurred in 214 patients. Conclusions TLSPD was safe and efficious with a low operative risk. The treatment resulted in a low rate of variceal rebleeding. Key words: Tunnel; Laparoscopy; Splenectomy; Pericardial devascularization; Portal hypertension
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