贲门周围血管离断术技术规范专家共识（2013版）  

Expert consensus on technical specifications of pericardial devascniarization （2013 edition ）

机构地区：[1]卫生和计划生育委员会卫生公益性行业科研专项专家组

出　　处：《中华消化外科杂志》2014年第1期19-21,共3页Chinese Journal of Digestive Surgery

摘　　要：有关外科治疗肝硬化门静脉高压症食管胃静脉曲张破裂出血的手术方法很多，且不同地区技术水平存在一定差别。为此，卫生和计划生育委员会卫生公益性行业科研专项“门静脉高压症治疗方法的合理选择和推广应用”专家组就贲门周围血管离断术规范化等相关临床问题进行充分研讨，形成以下共识：贲门周围血管离断术的手术适应证为肝硬化门静脉高压症伴有食管胃静脉曲张破裂出血，手术前应完善实验室和影像学检查，做好风险评估和术前准备，根据患者实际情况采用选择性或非选择性贲门周围血管离断术，对于是否切除脾脏尚存在争议。该专家共识特别探讨了原位脾切除技术及断流术有可能影响以后肝移植等问题。There are many operation methods in the surgical treatment of portal hypertension with esophageal gastric varices bleeding, and the technical levels vary significantly in different areas. Therefore, the consensus on technical specifica- tions of pericardial devascularization （2013 edition） is made by experts group from the Ministry of Health Special Fund for Research in the Public Interest ＂Reasonable choice and application of treatment of portal hypertension＂. The surgical indications of pericardia1 devascularization is portal hypertension with esophageal and gastric varices bleeding. Laboratory and imaging examinations, surgical risk assessment and preoperative prepara- tion should be done before operation. The decision of choosing selective or non-selective paraesophagogastric devascularization depends on the patient＇s actual situation. Controversial still exits on simultaneous splenectomy. The idea of in situ splenectomy and possible side effects of devascularization on subsequent liver transplantation are specially emphasized in the experts consensus.

关 键 词：肝硬化 门静脉高压症 食管和胃静脉曲张 血管离断术 

分 类 号：R657.6[医药卫生—外科学]