腹腔镜门静脉高压症外科治疗发展与新断流术  

The development of laparoscopic treatment for portal hypertension with a new porto-azygos disconnection

作　　者：杨镇[1] 万赤丹[2] 邓小荣 

机构地区：[1]华中科技大学同济医学院附属同济医院外科,武汉430030 [2]华中科技大学附属协和医院肝胆外科,武汉430022 [3]第六医院外科,深圳518000

出　　处：《中华普外科手术学杂志（电子版）》2017年第3期181-184,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：在当前微创外科时代,门奇静脉断流术取得一系列大的进展,例如,选择性贲门周围血管离断术的提出和应用、断流术时行脾切除术的适应证与禁忌证,以及新一代外科手术器械和腹腔镜技术在断流术和脾切除术中的应用等。实践表明,腹腔镜脾切除术贲门周围血管离断术是安全、简单和有效的手术术式,肝硬化门静脉高压症患者也适用。为了进一步证实这种新门奇静脉断流术的疗效,今后有待开展前瞻性、随机性、大样本的研究。In the recent minimal invasive surgery era, big progress has been made in portoazygous disconnective operation, for example, the proposal and application of selective pericardial esophagogastric devascularization, the indication and countraindication of splenectomy with portoazygous disconnective operaion, and the application of advanced surgical instrument and laparoscopic technique in portoazygous diconnective operation with splenectomy. It is suggested that laparoscopic splenectomy and esophagogastric devascularization is a safe, simple and effective surgical procedure, even in patients with liver cirrhosis and portalhypertension. Prospective randomized studies with a larger number of cases are still needed to investigate the clinical outcome by using this new portoazygous disconnective operation.

关 键 词：外科手术 微创性 高血压 门静脉 腹腔镜 脾切除术 

分 类 号：R657.34[医药卫生—外科学]