Laparoscopic Gastric Devascularization Without Splenectomy is Effective for the Treatment of Gastric Varices

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2016 Jan 9

PMID 26745317

Citations 2

Authors

Toru Zuiki

Yoshinori Hosoya

Yasunaru Sakuma

Masanobu Hyodo

Alan T Lefor

Naohiro Sata

Nobuhiko Nagamine

Norio Isoda

Kentaro Sugano

Yoshikazu Yasuda

Affiliations

Soon will be listed here.

Abstract

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 76ml). 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.

Citing Articles

Isolated gastric varices associated with antiphospholipid syndrome and protein S deficiency: a case report and review of the literature.

Li X, Wu J, Fang F, Liu Y, Jiang W, Li G J Int Med Res. 2024; 52(4):3000605241240579.

PMID: 38603605 PMC: 11010754. DOI: 10.1177/03000605241240579.

Two Cases of Gastric Varices with Left-sided Portal Hypertension Due to Essential Thrombocythemia Treated with Gastric Devascularization or Partial Splenic Embolization.

Watanabe Y, Osaki A, Yamazaki S, Yokoyama H, Takaku K, Sato M Intern Med. 2023; 62(19):2839-2846.

PMID: 36823082 PMC: 10602822. DOI: 10.2169/internalmedicine.1273-22.

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