Which good is splenectomy devascularization and shunt
summary
For patients who want to undergo splenectomy and their families, we must hope that the hospital will adopt suitable surgical methods. Because splenectomy has devascularization and shunt, patients and their families are more entangled, because they are not professional medical staff after all. Let's take a look at which is better, devascularization and shunt.
Which good is splenectomy devascularization and shunt
First, the spleen is the largest immune organ of the body, accounting for 25% of the total lymphoid tissue of the whole body. It contains a large number of lymphocytes and macrophages, and is the center of cellular and humoral immunity. It is located in the depth of the lateral rib arch behind the left intercostal region, opposite to ribs 9-11, and its long axis is consistent with ribs 10. The soft reticuloendothelial cell organ.
The second is devascularization, that is, splenectomy, and operation to block the simple abnormal blood flow of portal azygous vein, so as to achieve the purpose of treatment. Including transection of lower esophagus, transection of gastric fundus, resection of lower esophagus and gastric fundus, pericardial devascularization, etc. The former two methods could not completely block the abnormal blood flow between the portal and azygous veins. Splenectomy plus pericardial devascularization is the most effective method in devascularization.
Third: shunt is a surgical method for the treatment of complications of portal hypertension. It is mainly used to reduce the pressure of portal vein by establishing collateral circulation of hepatic portal vein. It is used to treat hypersplenism, esophageal and gastric varices bleeding, refractory ascites and other complications caused by portal hypertension. It can be divided into interventional treatment and surgical treatment. It may lead to liver failure and hepatic encephalopathy, so it is generally not the first choice of treatment.
matters needing attention
For patients with splenectomy and their families, they should actively cooperate with the medical staff before and after the operation. They should trust the doctors and nurses, follow the doctor's advice, and the patients should maintain good psychological quality. A happy mood will also help the patients. Recover as soon as possible.