Surgical treatment of cirrhotic portal hypertension: Current status and research advances
10.3969/j.issn.1001-5256.2020.02.040
- VernacularTitle:肝硬化门静脉高压外科治疗的现状及进展
- Author:
Chunyu ZHANG
1
;
Zuojin LIU
Author Information
1. Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
- Publication Type:Research Article
- Keywords:
liver cirrhosis;
hypertension, portal;
surgical procedures, operative
- From:
Journal of Clinical Hepatology
2020;36(2):417-420
- CountryChina
- Language:Chinese
-
Abstract:
Liver cirrhosis can lead to continuous pathological elevation of portal venous pressure, resulting in various complications such as esophageal and gastric varices, ascites, hepatic encephalopathy, and secondary circulatory dysfunction. Multimodality therapy is the main treatment method for portal hypertension, among which surgical treatment is mainly used to control and prevent massive esophagogastric variceal bleeding. Currently, interventional therapy and liver transplantation have gradually become a routine method for surgical intervention and can significantly improve patients’ quality of life, but devascularization and shunt are still the mainstream surgical procedures. Each surgical strategy for cirrhotic portal hypertension has its own characteristics. It will be a trend in the future to evaluate patients’ general conditions and clinical features and select individualized treatment regimens to achieve the best treatment outcome.
