Comparative study of esophageal devascularisation with splenectomy vs proximal splenorenal shunt in non cirrhotic portal hypertension

Abstract

Major morbidity after MILR was observed in one (2%) patient (IIIA, Clavien-Dindo). There was no mortality. Bile leakage revealed in 3 of 5 patients after open resections (IIIA). Mean operation time of MILR and open resection was comparable: 280 (105-605) min and 290 (260-385) min, respectively. The mean blood loss for MILR and open procedures was 377 ml and 810 ml, respectively. The mean postoperative hospital stay after MILR and open resection was 7AE3 and 13AE5 days, respectively. Conclusion: MILR is the safe option for treatment of giant symptomatic benign tumors and may be considered as the first choice approach if surgery is indicated. Difficult-to-reach liver segments lesions is not a contraindication for centers with high volume of minimally invasive liver surgery.