Copyright
©The Author(s) 2023.
World J Gastrointest Surg. Apr 27, 2023; 15(4): 634-642
Published online Apr 27, 2023. doi: 10.4240/wjgs.v15.i4.634
Published online Apr 27, 2023. doi: 10.4240/wjgs.v15.i4.634
Figure 1 Open surgery of patient.
A: Ischemia line is clear on the splenic surface; B: The appearance of the preserved lower pole of the spleen is good, and blood supply is from the splenocolic ligament; C: The upper pole and the lower pole of the spleen are preserved at the same time during the operation; D: The spleen tissue at the splenic hilum was preserved during the operation.
Figure 2 Peripheral blood platelet level and perioperative portal system thrombosis.
A: The free portal vein pressure after subtotal splenectomy decreased significantly after surgery (bP < 0.01 vs pre-operation); B: The platelet level increased significantly 1 mo after subtotal splenectomy. (cP < 0.001 vs pre-operation); C: The platelet level after subtotal splenectomy increased more slowly than that after total splenectomy (aP < 0.05, cP < 0.001 vs subtotal splenectomy).
Figure 3 Computed tomography images.
A: Abdominal computed tomography showed small-scale necrosis of the residual spleen; B: New collateral circulation formed between the residual spleen and retroperitoneal tissue; C: Residual spleen showed obvious hyperplasia 11 years after the operation.
- Citation: Li HL, Ning SL, Gao YJ, Zhou T, Chen YX. In situ subtotal spleen resection combined with selective pericardial devascularization for the treatment of portal hypertension. World J Gastrointest Surg 2023; 15(4): 634-642
- URL: https://www.wjgnet.com/1948-9366/full/v15/i4/634.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i4.634