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Vagus Nerve-guided Laparoscopic Splenectomy and Azygoportal Disconnection
Sponsor: Northern Jiangsu People's Hospital
Summary
This study aimed to evaluate the effectiveness and safety of vagus nerve-guided laparoscopic splenectomy and azygoportal disconnection, and to assess its impact on postoperative digestive complications and quality of life.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
15
Start Date
2026-03-25
Completion Date
2027-03-31
Last Updated
2026-04-01
Healthy Volunteers
No
Interventions
Vagus nerve-guided laparoscopic splenectomy and azygoportal disconnection
The vagus nerve-guided procedure was performed in the following order: (1) find the left crural diaphragm; (2) via the surface of the left crural diaphragm, blunt dissect the left lateral surface of the distal esophagus using Bipolar Forceps, and find posterior vagal trunk; (3) along posterior vagal trunk towards left lateral esoph-agogastric junction, find and protect gastric and celiac branches; (4) enter the lesser omental sac from the right crural diaphragm using Bipolar Forceps; (5) transect the left gastric artery and vein together using a linear vascular stapler; (6) blunt dissect the anterior surface of the distal esophagus using Bipolar Forceps, and find anterior vagal trunk; (7) along anterior vagal trunk towards right lateral esoph-agogastric junction, find and protect gastric and hepatic branches; and (8) blunt dissect the right lateral surface of the distal esophagus. The hepatogastric ligament was conserved.
Locations (2)
Clinical Medical College of Yangzhou University
Yangzhou, Jiangsu, China
Clinical Medical College, Yangzhou University
Yangzhou, Jiangsu, China