门静脉高压症是肝硬化失代偿期一个严重的并发症，脾切除和贲门周围血管离断术是外科用来解决这一并发症的主要手段。随着腹腔镜技术的不断成熟和发展，全腹腔镜下脾切除和贲门周围血管离断术正逐渐完善和规范。右斜位腹腔镜下脾切除贲门周围血管离断术安全有效，能够减少并发症的发生。

The evaluation and application of laparoscopic splenectomy and pericardical devascularization        LIU Jin-gang, TIAN Zhong. Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110003, China
Corresponding author: LIU Jin-gang， E-mail：liujg@sj-hospital.org
Abstract    Portal hypertension is a severe complication of the decompensation period of liver cirrhosis, splenectomy and pericardical devascularization is still a main method to solve this problem by surgeon. With the development and maturity of laparoscopic technique, the skill of total  laparoscopic splenectomy and pericardical devascularization now becomes more standard and is consummated gradually. Total laparoscopic splenectomy and pericardical devascularization is technically safe, feasible and promising, which through lateral approach can decrease complications.