1. posthepatitic cirrhosis, portal hypertension, splenomegaly and hypersplenism2 idiopathic thrombocytopenic purpura 3.splenic space occupying lesion 4.splenic cyst
Conditions
Interventions
one:laparoscopic splenectomy
two:laparoscopic splenectomy
Sponsors
Xinqiao Hospital, Third Military Medical University, Chongqing
Eligibility
Sex/Gender
All
Age
5 Years to 67 Years
Inclusion criteria
Inclusion criteria: 1. posthepatitic cirrhosis, portal hypertension, splenomegaly and hypersplenism: liver function Child grade A, or after treatment can be adjusted to the Child A, CT display that the size of spleen is no more than 8 rib unit; 2. immune thrombocytopenic purpura: (1) steroid invalid type: chronic course of ITP > 6month, through blood steroid therapy in Department of Internal Medicine; (2) steroid dependent type: steroid treatment is effective, but relapse after the reduction (prednisone <20mg/d) or stopping steroid; 3. splenic space occupying lesion: splenic space occupying lesion, without metastasis; 4. splenic cyst: splenic cyst with compression symptoms, or can not exclude the splenic tumor.
Exclusion criteria
Exclusion criteria: 1. posthepatitic cirrhosis, portal hypertension, splenomegaly and hypersplenism: liver function Child grade B, or after treatment can not be adjusted to the Child A, CT display that the size of spleen is more than 8 rib unit; 2. immune thrombocytopenic purpura: steroid treatment is effective, and not relapse after the reduction (prednisone <20mg/d) or stopping steroid; 3. splenic space occupying lesion: splenic space occupying lesion with metastasis,heart and lung function can not tolerate operation; 4. splenic cyst: Heart and lung function can not tolerate operation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| platelet counts;accessory spleens;dosage of steroid;relaps; | — |
Contacts
Public ContactPingliang Jingli
Department of Hepatobiliary Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing
Outcome results
None listed