我国门静脉高压症外科的困境与机遇

Dilemma and opportunity of surgery for portal hypertension in China

门静脉高压症导致的食管胃底静脉曲张破裂出血临床十分常见,严重威胁患者生命.传统外科手术一直在门静脉高压症治疗中具有重要地位.近年来,虽面临药物、内镜、放射介入治疗等严峻挑战,但外科手术在门静脉高压症治疗中的地位仍然不可取代,并非是正在消失的外科.多学科团队模式为门静脉高压症的个体化、精准化治疗带来新的发展动力.新技术和新理念的发展、新治疗指南与共识的制订,规范了门静脉高压症的治疗.

Esophagogastric variceal hemorrhage caused by portal hypertension is common and severely threatens the patients＇ health.The conventional surgical treatment plays an important role in portal hypertension.Although surgical treatment is strongly challenged by the pharmacological treatments,endoscopic treatments and radioactive intervention therapies,the role in portal hypertension treatment is still unshakable and irreplaceable,and is also not the disappearing surgery.The multidisciplinary treatment modalities have also brought new impetus for the individualization and precision treatment of portal hypertension.The developments of new clinical guidelines and consensuses,new techniques and novel conceptions have promoted the treatment of portal hypertension to a standard procedure.