Laparoscopic gastric devascularization without splenectomy is effective for the treatment of gastric varices

INTRODUCTION: Laparoscopic gastric devascularization of the upper stomach in patients with gastric varices has rarely been reported. Perioperative clinical data were compared with patients who underwent open surgery. PRESENTATION OF CASES: From 2009 to 2012, we performed laparoscopic gastric devascu...

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Detalles Bibliográficos
Autores principales: Zuiki, Toru, Hosoya, Yoshinori, Sakuma, Yasunaru, Hyodo, Masanobu, Lefor, Alan T., Sata, Naohiro, Nagamine, Nobuhiko, Isoda, Norio, Sugano, Kentaro, Yasuda, Yoshikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756216/
https://www.ncbi.nlm.nih.gov/pubmed/26745317
http://dx.doi.org/10.1016/j.ijscr.2015.12.036
Descripción
Sumario:INTRODUCTION: Laparoscopic gastric devascularization of the upper stomach in patients with gastric varices has rarely been reported. Perioperative clinical data were compared with patients who underwent open surgery. PRESENTATION OF CASES: From 2009 to 2012, we performed laparoscopic gastric devascularization without splenectomy for the treatment of gastric varices in eight patients. The patients included four males and four females. Peri-gastric vessels were divided using electrical coagulating devices or other devices according to the diameter of the vessels. Two patients underwent conversion to open surgery due to intraoperative bleeding. DISCUSSION: Intraoperative blood loss in patients who accomplished laparoscopic devascularization was very small (mean 76 ml). However, once bleeding occurs, there is a risk of causing massive bleeding. CONCLUSION: With further improvement of laparoscopic devices, laparoscopic gastric devascularization without splenectomy must be an effective and less-invasive surgical procedure in the treatment of gastric varices.

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