Creator |
|
|
|
|
|
|
|
|
|
Language |
|
Publisher |
|
|
Date |
|
Source Title |
|
Vol |
|
Issue |
|
First Page |
|
Last Page |
|
Publication Type |
|
Access Rights |
|
JaLC DOI |
|
Related DOI |
|
Related URI |
|
Related HDL |
|
Abstract |
The case was a 50 years old female, with history of multiple previous surgeries including living donor liver transplantation for primary biliary cirrhosis, pancreatoduodenectomy for carcinoma in the d...uodenal papilla Vater, revision of Roux-en-Y anastomosis for intractable cholangitis due to short Roux limb. She was hospitalized this time for decompensated liver cirrhosis due to recurrent cholangitis, with apparent hypersplenism and risky esophageal varices. After a few session of endoscopic treatment for esophageal varices, we applied total laparoscopic splenectomy for hypersplenism in a patient with multiple surgical histories, for seeking better surgical field for safety. The surgery was completed as planned preoperatively under good surgical field.show more
|