[Focusing the role of surgery in the treatment of liver cirrhotic portal hypertension]

Zhonghua Gan Zang Bing Za Zhi. 2021 Sep 20;29(9):820-824. doi: 10.3760/cma.j.cn501113-20210815-00403.
[Article in Chinese]

Abstract

Portal hypertension treatment has always been regarded as complex and diverse. With the innovation of concepts and technologies, its treatment model has been transformed from a single-disciplinary diagnosis and treatment model to a multidisciplinary collaborative diagnosis and treatment model. In the multidisciplinary diagnosis and treatment model, the surgical treatment of portal hypertension is not a treatment that is about to disappear soon, but one of the indispensable treatment methods under the multidisciplinary diagnosis and treatment model, and it will play an increasingly important role. Surgeons should formulate individualized, standardized, and minimally invasive treatment methods under the input of new concepts, master the surgical indications and individualized surgical methods for different populations, and maximize the optimization surgical treatment methods for portal hypertension. Therefore, it is necessary to re-examine the role of surgical treatment in the diagnosis and treatment of liver cirrhotic portal hypertension.

门静脉高压症的治疗一直被认为是复杂、多样的,随着理念与技术的革新,其治疗模式已经从单一学科诊疗模式过渡到多学科协作诊疗模式。在多学科诊疗模式下,门静脉高压症外科治疗并不是即将消失的治疗方式,而是多学科诊疗模式下不可或缺的治疗手段之一,并且将扮演越来越重要的角色。外科医生应该在新的理念影响下,发展个体化、规范化、微创化的治疗方法,把握门静脉高压症的手术适应证,掌握针对不同人群的个体化手术方式,最大程度优化外科治疗门静脉高压症的方法。因此,重新审视外科治疗在门静脉高压症诊疗中的作用是非常有必要的。.

Keywords: Multi-disciplinary treatment; Portal hypertension; Surgical treatment.

MeSH terms

  • Humans
  • Hypertension, Portal* / surgery
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / surgery