Vagus Nerve-guided Laparoscopic Splenectomy and Azygoportal Disconnection
NCT07462091 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2026-04-01
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.
Conditions
- Cirrhosis
- Hypersplenism
- Hypertension, Portal
Interventions
- PROCEDURE
-
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.
Sponsors & Collaborators
-
Northern Jiangsu People's Hospital
lead OTHER
Principal Investigators
-
Dou-Sheng Bai, MD · Clinical Medical College, Yangzhou University
-
Guo-Qing Jiang, MD · Clinical Medical College, Yangzhou University
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-25
- Primary Completion
- 2027-03-31
- Completion
- 2027-03-31
Countries
- China
Study Locations
More Related Trials
-
Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy
NCT05486169 ·Status: COMPLETED ·Phase: NA
-
Nomogram for Predicting Difficult Laparoscopic Appendectomy
NCT06818942 ·Status: RECRUITING
-
The Impact of Laparotomy and Analgesia Methods on Diaphragm
NCT06403540 ·Status: RECRUITING
-
The Impact of Lumboscopy Versus Laparoscopy on Ventilatory Mechanics
NCT06776068 ·Status: NOT_YET_RECRUITING
-
Assessing Gastric Motility and Distention in Postoperative Gastrointestinal Surgery Using Bedside Gastric Ultrasound: Predicting Risk of Aspiration Pneumonia, Ileus, Return of Bowel Function
NCT04747691 ·Status: COMPLETED
-
The Role of Laparoscopy in Upper Abdominal Surgical Emergencies in Adults: A Retrospective Observational Study.
NCT05591495 ·Status: COMPLETED
-
Meta-Analysis on Damage Control Surgery in Patients With Non-Traumatic Abdominal Emergencies
NCT04448912 ·Status: COMPLETED
-
the Role of Laparoscopy in Lower Gastrointestinal Surgical Emergencies in Adults.
NCT05584579 ·Status: COMPLETED
-
Study of the Relationship Between Curarization and Pneumoperitoneum in Laparoscopic Surgery
NCT07005518 ·Status: NOT_YET_RECRUITING
-
The Cranial-caudal Mixed Medial Approach for Laparoscopic Right Hemicolectomy
NCT05923151 ·Status: COMPLETED ·Phase: NA
-
Fundoplication in Laparoscopic PEH Repair Based on FLIP
NCT05807763 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Blade Finger Technique for Safe Laparoscopic Entery
NCT05475470 ·Status: COMPLETED ·Phase: NA
-
The Effect of Postoperative Referred Pain in the Left Shoulder on Short-term Outcomes for Laparoscopic Gastrectomy
NCT03482609 ·Status: UNKNOWN
-
Incidental Findings in Abdominal Surgery
NCT05227911 ·Status: COMPLETED
-
Laparoscopic Nissen Fundoplication Comparing Division Versus Non-Division of Short Gastric Vessels
NCT00852098 ·Status: COMPLETED ·Phase: NA
-
Transgastric Peritoneoscopy and Appendectomy
NCT00952146 ·Status: UNKNOWN ·Phase: NA
-
Applying Long-term Follow-up to Improve Patient Selection in Laparoscopic Anti-reflux Surgery
NCT03959020 ·Status: COMPLETED
-
Abdominal Pain and Symptoms Post Gastric Sleeve
NCT03456024 ·Status: UNKNOWN
-
Estimation of the Difference Between the Temperature of the Peritoneal Microenvironment and the Central Body Temperature During Laparoscopic Surgery. Prospective Observational Study
NCT04294758 ·Status: COMPLETED
-
Laparoscopic Versus Open Sigmoid Colectomy for Diverticular Disease
NCT00453830 ·Status: COMPLETED ·Phase: PHASE4
-
Laparoscopic Versus Hand Assisted Laparoscopic Trans-peritoneal Laparoscopic Nephrectomy as One Day Surgery (i.e.: Are There Differences in Postoperative Outcome / Convalescence)
NCT02295982 ·Status: COMPLETED ·Phase: NA
-
Laparoscopy Versus Clinical Follow up to Detect Diaphragm Injury
NCT01044550 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Detection of Position of Diaphragm During Laparoscopic Surgery
NCT03038061 ·Status: COMPLETED ·Phase: NA
-
Omental Transposition Surgery for Mild Alzheimer's Disease
NCT02349191 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Value of Ultrasound Measurement of Stomach Diameter in Predicting Postoperative Nausea/Vomiting
NCT07063069 ·Status: RECRUITING ·Phase: NA