Zhonghua Wai Ke Za Zhi. 2022 May 1;60(5):424-431. doi: 10.3760/cma.j.cn112139-20220221-00073.
Although the treatment strategy of esophageal and gastric varices bleeding in portal hypertension has been diversified and multidisciplinary now,the surgical treatment represented by pericardial devascularization operation will still play an important and irreplaceable role in China. In order to standardize the surgical procedure,guide clinical practice and improve the level of surgical treatment of portal hypertension, organized Chinese experts to formulate this consensus. The main contents include:the position of surgical treatment,surgical indications and contraindications,preoperative evaluation,key points and precautions of surgical procedure,perioperative treatment,prevention and treatment of postoperative complications. The consensus emphasizes the standardization of surgical treatment of portal hypertension,pay attention to the prevention and treatment of postoperative portal vein thrombosis,and expect to provide surgeons with clinical guidance.
尽管目前门静脉高压症食管胃静脉曲张出血的治疗策略已呈现多元化和多学科化，但以贲门周围血管离断术为代表的外科治疗在我国仍将发挥重要且不可替代的作用。为规范手术操作，指导临床实践，提高门静脉高压症的外科治疗水平，组织国内专家制定本共识。主要内容包括：手术治疗的地位、手术适应证与禁忌证、术前评估、手术操作要点及注意事项、围手术期处理、术后并发症的防治。本共识强调门静脉高压症外科治疗的规范化，注重术后门静脉血栓形成的防治，期望为外科医师提供临床指导。
