Totally laparoscopic modified Sugirua procedure for cirrhotic portal hypertension: an analysis of 7 cases                     CAI Xiao-yong，PAN Meng，HUANG Yu-bin，et al. Centre of Minimally Invasive Surgery, the First Affiliated Hospital,Guangxi Medical University, Nanning530007，China
Corresponding author: CAI Xiao-yong，E-mail:xiaoyong.cai@yahoo.com.cn
Abstract    Objective    To study the methods and skills of totally laparoscopic modified Sugirua procedure for cirrhotic portal hypertension, and evaluate the feasibility, safety and operation effect of the procedure. Methods    Seven cases of posthepatitic cirrhosis, splenomegaly, hypersplenism and gastric fundus esophagus varicosity admitted between 2007 and 2009 in the First Affiliated Hospital of Guangxi Medical University were performed totally laparoscopic modified Sugirua procedure. The procedure included splenectomy, devascularization and esophageal transection. Results    The operation was successful in all 7 patients. The operating time was 4.0 to 8.5 hours. Mean blood loss was 700 mL. The patients recovered well without any severe complications. All the patients were followed up 1.0—2.5 years with normal blood cells and no rebleeding occurred in the time period. Conclusion    Totally laparoscopic modified Sugirua procedure is feasible, safe, minimally invasive and fast restored with excellent cosmetic result. It offers a new alternative for the treatment of portal hypertension, but it should be performed by highly skilled laparoscopic surgeons.