{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T21:48:17Z","timestamp":1694728097115},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,2,27]],"date-time":"2014-02-27T00:00:00Z","timestamp":1393459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2014,5]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>Laparoscopic devascularization of the upper stomach and splenectomy (Dev<\/jats:styled-content>+Sp<\/jats:styled-content>), is technically difficult in patients with portal hypertension because of enlarged collateral vessels and spleen. This report presents the efficacy and safety of hand\u2010assisted laparoscopic (HALS<\/jats:styled-content>) Dev<\/jats:styled-content>+Sp<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>Ten patients underwent HALS Dev<\/jats:styled-content>+Sp<\/jats:styled-content> as a treatment for esophagogastric varices between 2005 and 2012 (HALS<\/jats:styled-content> group). A vessel\u2010sealing system was used for devascularization of vessels. An autosuture device was applied to dissect the splenic hilum and the left gastric and enlarged short gastric vessels. The operative and postoperative data were compared between patients who previously underwent laparoscopic Dev<\/jats:styled-content>+Sp<\/jats:styled-content> (LAP<\/jats:styled-content> group, n<\/jats:italic>\u2009=\u20099) and conventional Dev<\/jats:styled-content>+Sp<\/jats:styled-content> (OP<\/jats:styled-content> group, n<\/jats:italic>\u2009=\u200910) between 2001 and 2008.<\/jats:p><\/jats:sec>Results<\/jats:title>The mean operative time was 328, 336, and 245\u2009min (P<\/jats:italic>\u2009<\u20090.05) and the mean blood loss was 1786, 981, and 250\u2009mL (P<\/jats:italic>\u2009<\u20090.05) in the OP<\/jats:styled-content>, LAP<\/jats:styled-content>, and HALS<\/jats:styled-content> groups, respectively. Laparoscopic surgery was converted to HALS<\/jats:styled-content> in one patient and to open surgery in three patients. There were no conversions in the HALS<\/jats:styled-content> group. There was no significant difference in the cumulative recurrence rate and bleeding rate in the groups.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>HALS Dev<\/jats:styled-content>+Sp<\/jats:styled-content> is a feasible and effective surgery in patients with portal hypertension.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12096","type":"journal-article","created":{"date-parts":[[2014,2,27]],"date-time":"2014-02-27T06:47:12Z","timestamp":1393483632000},"page":"138-144","source":"Crossref","is-referenced-by-count":10,"title":["Comparison of open, laparoscopic, and hand\u2010assisted laparoscopic devascularization of the upper stomach and splenectomy for treatment of esophageal and gastric varices: A single\u2010center experience"],"prefix":"10.1111","volume":"7","author":[{"given":"Tomohiko","family":"Akahoshi","sequence":"first","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan"},{"name":"Center of Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Uehara","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morimasa","family":"Tomikawa","sequence":"additional","affiliation":[{"name":"Center of Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Kawanaka","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Hashizume","sequence":"additional","affiliation":[{"name":"Center of Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiko","family":"Maehara","sequence":"additional","affiliation":[{"name":"Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,27]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"117","article-title":"Acute gastrointestinal bleeding: Part II","volume":"3","author":"Collins D","year":"2001","journal-title":"Crit Care Resusc"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(98)80320-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.119501"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2010.06572.x"},{"key":"e_1_2_6_6_1","first-page":"169","article-title":"Gastroesophageal 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