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World J Gastroenterol. May 21, 2014; 20(19): 5794-5800
Published online May 21, 2014. doi: 10.3748/wjg.v20.i19.5794
Published online May 21, 2014. doi: 10.3748/wjg.v20.i19.5794
Laparoscopic splenectomy for hypersplenism secondary to liver cirrhosis and portal hypertension
Xiao-Li Zhan, Yun Ji, Yue-Dong Wang, Department of General Surgery, Second Affiliated Hospital Zhejiang University College of Medicine, 88 Jiefang RD, Hangzhou 310009, Zhejiang Province, China
Author contributions: Zhan XL and Wang YD performed the literature search and wrote the paper; Ji Y and Wang YD reviewed the paper; Wang YD gave final approval of the manuscript.
Correspondence to: Yue-Dong Wang, MD, PhD, FACS, Department of General Surgery, Second Affiliated Hospital Zhejiang University College of Medicine, 88 Jiefang RD, Hangzhou 310009, Zhejiang Province, China. wydong2003@hotmail.com
Telephone: +86-571-87315253 Fax: +86-571-87022776
Received: October 23, 2013
Revised: January 13, 2014
Accepted: March 8, 2014
Published online: May 21, 2014
Revised: January 13, 2014
Accepted: March 8, 2014
Published online: May 21, 2014
Core Tip
Core tip: With meticulous surgical techniques and advanced instruments, laparoscopic splenectomy is becoming a technically feasible, safe, and effective procedure for hypersplenism secondary to cirrhosis and portal hypertension, and contributes to decreased blood loss, a shorter hospital stay, and less impairment of liver function. It is recommended that the dilated short gastric vessels and other enlarged collateral circulation surrounding the spleen be divided with LigaSure vessel sealing equipment, and blunt dissection be avoided. Use of the vascular stapler is reported to shorten and facilitate hilar dissection compared with the former techniques of ligation or clipping.