JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (7): 79-83.doi: 10.6040/j.issn.1671-7554.0.2016.1619

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A clinical research on occlusive techniques for partial splentic embolization combined with radiofrequency ablation for hypersplenism due to portal hypertension

DU Futian1, DU Yunlong2, LIN Hongfeng1   

  1. 1. Department of Hepatobiliary Surgery, Weifang Peoples Hospital, Weifang 261041, Shandong, China;
    2. Third Department of General Surgery, First Hospital of Zibo, Zibo 255000, Shandong, China
  • Received:2016-12-06 Online:2017-07-10 Published:2017-07-10

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Abstract: Objective To observe the clinical efficacy of partial splentic embolization(PSE)technique combined with laparoscopic radiofrequency ablation(RFA)in the treatment of hypersplenism in patients with portal hypertension. Methods A total of 69 patients with portal hypertension and hypersplenism were treated with PSE combined with laparoscopic RFA(n=26, group A)and splenectomy(n=43, group B). The clinical outcomes were analyzed and compared. Results No procedure-related death occurred in group A. The major complications were left upper abdominal pain(16 cases), fever(10 cases)and pleural effussion(1 case). No procedure-related death occurred in group B either. The major complications included fever(29 cases), abdominal cavity hemorrhage(3 cases), pleural effusion(7 cases), and portal vein thrombosis(6 cases). The incidence of postoperative complications was significantly lower in group A than in group B. Conclusion Splenic artery embolization combined with laparoscopic radiofrequency ablation has good curative effect and important clinical value in the treatment of hypersplenism in patients with portal hypertension. It is a safe, effective and minimally invasive.

Key words: Portal hypertension, Radiofrequency ablation, Hypersplenism, Splenic artery

CLC Number: 

  • R657.6+3
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