开腹贲门周围血管离断术中国专家共识(2022版)  

Chinese expert consensus on open pericardial devascularization(2022 edition)

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] 梅斌华 Chinese Society of Spleen and Portal Hypertension Surgery,Chinese Society of Surgery,Chinese Medical Association;Yang Lianyue(不详;Xiangya Hospital Central South University,Changsha 410008,China)

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

出　　处：《中华消化外科杂志》2022年第5期564-572,共9页Chinese Journal of Digestive 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发挥重要、不可替代的作用。为进一步规范手术操作,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相关专家制订《开腹贲门周围血管离断术中国专家共识(2022版)》,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,术后并发症防治等。本共识强调门静脉高压症外科治疗的规范化,重视术后门静脉系统血栓防治,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,the surgical treatment represented by pericardial devascularization still plays an important and irreplaceable role.In order to further standardize the surgical procedure,guide clinical practice and improve the surgical treatment of portal hypertension,the Chinese Society of Spleen and Portal Hypertension Surgery organizes relevant experts to formulate the Chinese expert consensus on open pericardial devascularization(2022 edition),with the main contents including the position of surgical treatment,surgical indica-tions and contraindications,preoperative evaluation indicators,key points and precautions of surgical procedure,perioperative treatment,prevention and treatment of postoperative complications.The present guideline emphasizes the standardization of surgical treatment of portal hypertension and the importance of the prevention and treatment of postoperative portal vein thrombosis,in order to provide surgical procedure guidance to surgeons.

关 键 词：门静脉高压 贲门周围血管离断术 开腹 手术操作 专家共识 

分 类 号：R656.6[医药卫生—外科学]