生体肝移植術を含む3回の開腹術歴後に完全腹腔鏡下脾臓摘出術を施行し得た一例

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  • Total Laparoscopic Splenectomy for A Patient with Multiple Surgeries Including Living Donor Liver Transplantation
  • 症例 生体肝移植術を含む3回の開腹術歴後に完全腹腔鏡下脾臓摘出術を施行し得た一例
  • ショウレイ セイタイ カン イショクジュツ オ フクム 3カイ ノ カイフクジュツレキ ゴ ニ カンゼン フククウキョウ カ ヒゾウ テキシュツジュツ オ シコウ シエタ イチレイ

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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 duodenal 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.

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