Current status of surgery for portal hypertension in China: a national multi-center survey analysis
- VernacularTitle:中国门静脉高压症外科治疗现状多中心调研分析
- Author:
Lei ZHENG
1
;
Haiyang LI
;
Jizhou WANG
;
Xiao LIANG
;
Jian DOU
;
Jitao WANG
;
Qiang FAN
;
Xiong DING
;
Wenlong ZHAI
;
Yun JIN
;
Bo LI
;
Songqing HE
;
Tao LI
;
Jun LIU
;
Kui WANG
;
Zhiwei LI
;
Yongyi ZENG
;
Yingmei SHAO
;
Yang BU
;
Dong SHANG
;
Yong MA
;
Cheng LOU
;
Xinmin YIN
;
Jiefeng HE
;
Haihong ZHU
;
Jincai WU
;
Zhidan XU
;
Dunzhu BASANG
;
Jianguo LU
;
Liting ZHANG
;
Jianguo ZHAO
;
Ling LYU
;
Guoyue LYU
;
Nim CHOI
;
To Tan CHEUNG
;
Meng LUO
;
Wanguang ZHANG
;
Xiaolong QI
;
Xiaoping CHEN
Author Information
- Keywords: Liver transplantation; Portal Hypertension; Survey research
- From: Chinese Journal of Organ Transplantation 2023;44(3):152-159
- CountryChina
- Language:Chinese
- Abstract: Objective:To explore the current status of surgery for portal hypertension to grasp current status and future development of surgery in China.Methods:This study is jointly sponsored by China Hepatobiliary & Pancreatic Specialist Alliance & Portal Hypertension Alliance in China (CHESS).Comprehensive surveying is conducted for basic domestic situations of surgery for portal hypertension, including case load, surgical approaches, management of postoperative complications, primary effects, existing confusion and obstacles, liver transplantation(LT), laparoscopic procedures and transjugular intrahepatic portosystemic shunt(TIPS), etc.Results:A total of 8 512 cases of portal hypertension surgery are performed at 378 hospitals nationwide in 2021.Splenectomy plus devascularization predominated(53.0%)and laparoscopy accounted for 76.1%.Primary goal is preventing rebleeding(67.0%) and 72.8% of hospitals used preventive anticoagulants after conventional surgery.And 80.7% of teams believe that the formation of postoperative portal vein thrombosis is a surgical dilemma and 65.3% of hospitals practiced both laparoscopy and TIPS.The major reasons for patients with portal hypertension not receiving LT are due to a lack of qualifications for LT(69.3%)and economic factors(69.0%).Conclusions:Surgery is an integral part of management of portal hypertension in China.However, it is imperative to further standardize the grasp of surgical indications, the handling of surgical operation and the management of postoperative complications.Moreover, prospective, multi-center randomized controlled clinical studies should be performed.
