TY - JOUR
T1 - Long-term results of laparoscopic Hassab's procedure for esophagogastric varices with portal hypertension
AU - Fujisaki, Hiroyuki
AU - Fukami, Yasuyuki
AU - Arikawa, Takashi
AU - Saito, Takuya
AU - Osawa, Takaaki
AU - Komatsu, Shunichiro
AU - Kaneko, Kenitiro
AU - Kurokawa, Tsuyoshi
AU - Nonami, Toshiaki
AU - Sano, Tsuyoshi
N1 - Publisher Copyright:
© 2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
PY - 2022/7
Y1 - 2022/7
N2 - Introduction: Recent reports have shown laparoscopic gastric devascularization and splenectomy (Hassab's procedure) to be a safe and effective treatment for esophagogastric varices with portal hypertension. However, the long-term postoperative results remain unclear. Methods: Between 2009 and 2015, 17 patients with portal hypertension and esophagogastric varices underwent laparoscopic Hassab's procedure at our institution. Two patients were lost to long-term follow-up (at least 2 years) and excluded. The remaining 15 patients' data and endoscopic findings were retrospectively reviewed. Results: The median postoperative follow-up period was 56 months. The median spleen volume, operation time, blood loss, and length of postoperative hospital stay were 651 (320–1,265) mL, 305 (275–547) minutes, 347 (24–1,131) mL, and 20 (8–41) days, respectively. According to the endoscopic findings 1 year after surgery, the esophagogastric varices disappeared in three patients and improved in 12 patients. The median platelet count was significantly higher 1 year after surgery (19.7 × 104/dL) than before surgery (5.5 × 104/dL) (P <.001) and remained stable 2 years after surgery. Two patients died of liver disease. The remaining 13 patients, with a median postoperative follow-up of 57 months, were alive without bleeding from esophagogastric varices. Conclusion: Laparoscopic Hassab's procedure is a feasible treatment for esophagogastric varices with portal hypertension in terms of both short- and long-term results.
AB - Introduction: Recent reports have shown laparoscopic gastric devascularization and splenectomy (Hassab's procedure) to be a safe and effective treatment for esophagogastric varices with portal hypertension. However, the long-term postoperative results remain unclear. Methods: Between 2009 and 2015, 17 patients with portal hypertension and esophagogastric varices underwent laparoscopic Hassab's procedure at our institution. Two patients were lost to long-term follow-up (at least 2 years) and excluded. The remaining 15 patients' data and endoscopic findings were retrospectively reviewed. Results: The median postoperative follow-up period was 56 months. The median spleen volume, operation time, blood loss, and length of postoperative hospital stay were 651 (320–1,265) mL, 305 (275–547) minutes, 347 (24–1,131) mL, and 20 (8–41) days, respectively. According to the endoscopic findings 1 year after surgery, the esophagogastric varices disappeared in three patients and improved in 12 patients. The median platelet count was significantly higher 1 year after surgery (19.7 × 104/dL) than before surgery (5.5 × 104/dL) (P <.001) and remained stable 2 years after surgery. Two patients died of liver disease. The remaining 13 patients, with a median postoperative follow-up of 57 months, were alive without bleeding from esophagogastric varices. Conclusion: Laparoscopic Hassab's procedure is a feasible treatment for esophagogastric varices with portal hypertension in terms of both short- and long-term results.
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U2 - 10.1111/ases.13038
DO - 10.1111/ases.13038
M3 - Article
C2 - 35132809
AN - SCOPUS:85134083546
SN - 1758-5902
VL - 15
SP - 505
EP - 512
JO - Asian journal of endoscopic surgery
JF - Asian journal of endoscopic surgery
IS - 3
ER -