Clinical comparative study of laparoscopy versus open surgery in the treatment of portal hypertension        YAO Ying-min, ZHENG Xin, WU Zhen-hua,et al. Department of Hepatobiliary Surgery,the First Hospital, School of Medicine,
Xi’an Jiaotong University, Xi’an 710061, China
Corresponding author:LIU Qing-guang, E-mail:liuqingguang@vip.sina.com
Abstract    Objective    To evaluate the advantage of total laparoscopic splenectomy and pericardial devascularization compared to traditional open operation and investigate its feasibility, superiority and operation skill. Methods    The preoperation data of 7 patiens who had received total laparoscopic splenectomy and pericardial devascularization in the First Affiliated Hospital of Medical College of Xi’an Jiaotong University from February 2007 to July 2008 were retrospectively analyzed. And according to the result, open operation control group was selected. Simulating the random controlled trial (RCT), the perioperative data between both groups were retrospectively analyzed. Results    The intraoperaive blood loss and length of postoperative hospitalization were both obviously less in the laparoscope group. However, the operative time , postoperative complication and cost of hospitalization were similar in both groups. Conclusions    Total laparoscopic splenectomy and pericardial devascularization can be applicated safely in the treatment of portal hypertension.Compared to the traditional open operation, there are several advantages such as minimal invasion, faster recovery, beautiful outlook and so on. But it must be cautious to control the indication and select the performers.