Effect of laparoscopic splenectomy on portal haemodynamics in patients with liver cirrhosis and portal hypertension  

Oleh:

Kawanaka, H. ; Akahoshi, T. ; Kinjo, N ; Iguchi, T. ; Ninomiya, M.

Jenis: Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi: BJS: British Journal of Surgery vol. 101 no. 12 (Nov. 2014), page 1585-1593.

Ketersediaan

Perpustakaan FK Nomor Panggil: B15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background The effect of splenomegaly in patients with liver cirrhosis and portal hypertension is not fully understood. This study was designed to determine the effect of laparoscopic splenectomy on portal haemodynamics in these patients. Methods Patients with liver cirrhosis and portal hypertension who underwent laparoscopic splenectomy in Kyushu University Hospital from January 2006 to March 2009 were evaluated retrospectively. Correlations between splenic size and portal haemodynamics, and changes in portal haemodynamics and in levels of the vasoactive agents endothelin (ET) 1 and nitric oxide metabolites (NOx) before and 7–10?days after laparoscopic splenectomy were analysed. Results Portal venous (PV) blood flow, PV cross-sectional area and PV congestion index correlated significantly with splenic size (P?

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