{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:23:58Z","timestamp":1773275038070,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,7,21]],"date-time":"2006-07-21T00:00:00Z","timestamp":1153440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2006,7,21]],"date-time":"2006-07-21T00:00:00Z","timestamp":1153440000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Bleeding from esophagogastric varices is the major cause of death in patients with portal hypertension. Although esophageal varices can be treated with endoscopic procedures, the treatment for gastric varices is still controversial. The aim of this study was to describe a surgical technique and our preliminary results of hand\u2010assisted laparoscopic Hassab\u2019s procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February 2002 and May 2005, we performed 7 cases of gastric varices with this type of operation. The patients included 4\u00a0men and 3 women who ranged in age from 23 to 74 years (underlying liver disease: 5 case of liver cirrhosis, 1 case of polycystic disease, 1 case of extrahepatic portal vein obstruction). After splenctomy was performed, we devascularized the vessels of the upper stomach and the esophagus 5\u00a0cm away from the esophago\u2010cardia junction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The operative time ranged from 132 to 290\u00a0minutes. Intraoperative blood loss was estimated to be from 50\u00a0ml to 475\u00a0ml. The weight of removed spleen ranged from 110 g to 800 g. During the follow\u2010up period, all gastric varices disappeared and no bleeding from varicose veins was observed. All patients had hypersplenism with thrombocytopenia before surgery (mean: 11.1 \u00b1 7.4 \u00d7 10<jats:sup>4<\/jats:sup>\/ml), which was improved postoperatively (mean: 30.8 \u00b119.0 \u00d7 10<jats:sup>4<\/jats:sup>\/ml). This data were statistically significant (<jats:italic>P<\/jats:italic> = 0.033). One patient died of aspiration pneumonia related to postoperative pyloric stricture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although there is no agreement concerning the best treatment of gastric varices, the hand\u2010assisted laparoscopic Hassab\u2019s operation is a safe, moderately invasive method, and its outcome appears to be equal to that of other open procedures.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0243-2","type":"journal-article","created":{"date-parts":[[2006,7,19]],"date-time":"2006-07-19T13:32:13Z","timestamp":1153315933000},"page":"1520-1525","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Hand\u2010assisted Laparoscopic Splenectomy and Devascularization of the Upper Stomach in the Management of Gastric 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