开腹贲门周围血管离断术中国专家共识(2021版)  

Chinese expert surgical procedure consensus on open pericardial devascularization(2021)

作　　者：中华医学会外科学分会脾及门静脉高压外科学组 杨连粤[2] 梅斌[3] Chinese Society of Spleen and Portal Hypertension Surgery,Chinese Society of Surgery,Chinese Medical Association;Yang Lianyue(不详;Department of Surgery,Xiangya Hospital Central South University,Changsha 410008,China)

机构地区：[1]不详 [2]中南大学湘雅医院外科,长沙410008 [3]华中科技大学同济医学院附属同济医院

出　　处：《中华外科杂志》2022年第5期424-431,共8页Chinese Journal of Surgery

摘　　要：尽管目前门静脉高压症食管胃底静脉曲张破裂出血的治疗已呈现多元化与多学科的治疗模式,但以贲门周围血管离断术为主要代表的手术治疗仍将发挥重要的、不可替代的作用。为了进一步规范其手术操作,指导临床实践,提高门静脉高压症外科治疗水平,中华医学会外科学分会脾及门静脉高压外科学组组织中国相关专家制定了本共识。主要内容包括:外科治疗的定位,手术适应证、禁忌证,术前评估指标,手术操作要点与注意事项,围手术期处理,术后并发症的防治等。共识强调门静高压外科治疗的规范化,重视术后门静脉系统血栓的防治,以期为临床医师提供手术操作指导。Although the treatment strategy of esophageal and gastric varices bleeding in portal hypertension has been diversified and multidisciplinary now,the surgical treatment represented by pericardial devascularization operation will still play an important and irreplaceable role in China.In order to standardize the surgical procedure,guide clinical practice and improve the level of surgical treatment of portal hypertension,Chinese Society of Spleen and Portal Hypertension Surgery,Chinese Surgical Society,Chinese Medical Association organized Chinese experts to formulate this consensus.The main contents include:the position of surgical treatment,surgical indications and contraindications,preoperative evaluation,key points and precautions of surgical procedure,perioperative treatment,prevention and treatment of postoperative complications.The consensus emphasizes the standardization of surgical treatment of portal hypertension,pay attention to the prevention and treatment of postoperative portal vein thrombosis,and expect to provide surgeons with clinical guidance.

关 键 词：高血压 门静脉 外科手术 血管离断术 

分 类 号：R656.61[医药卫生—外科学]