Zhonghua Wai Ke Za Zhi. 2022 Jun 1;60(6):509-516. doi: 10.3760/cma.j.cn112139-20220218-00070.
Laparoscopic esophagogastric devascularization has the advantages of less trauma, less bleeding and faster recovery.In order to promote this technology in a scientific and standardized manner and to guide clinical practice, the Chinese Society of Spleen and Portal Hypertension Surgery, Chinese Medical Association, discussed and composed the "Chinese expert consensus for laparoscopic esophagogastric devascularization(2021)".This consensus adheres to the standardization and minimally invasive principles of surgical treatment of portal hypertension, and elaborates the surgical indications and contraindications, preoperative evaluation, surgical technical points and precautions, postoperative management and common complications, especially the prevention and treatment of portal vein thrombosis.
腹腔镜食管胃去血管化术具有创伤小、出血少、恢复快等优点。为科学规范地推广该项技术,指导临床实践,中华医学会脾和门静脉高压外科学组组织讨论并撰写了《腹腔镜食管胃去血管化术中国专家共识(2021版)》。本共识遵循门静脉高压外科治疗的规范化及微创化原则,阐述了手术适应证与禁忌证、术前评估、手术技术要点及注意事项、术后管理和常见并发症,尤其对门静脉血栓形成的防治进行了阐述。