门静脉高压症外科治疗技术进展

Technical advancement in surgical treatment of portal hypertension

门静脉高压在外科手术近年有不少发展和进步，但手术适应证、手术时机及术式选择仍存在很多争议。微创腹腔镜及机器人是门静脉高压外科技术发展的引领方向。外科术式选择应以循证为依据，但不应盲从指南。外科发展需加强多学科合作，术式革新是外科发展的动力。

Recently, there have been many developments and improvements in portal hypertension surgery, but there are still many controversies regarding the surgical indications, the timing of surgery, and the choice of surgical procedures. Minimally invasive laparoscopy and robotics are the leading direction for the development of surgical techniques for portal hypertension. Surgical selection procedures should be based on evidence-based, but guidelines should not be blindly followed. Surgical development needs to strengthen multidisciplinary cooperation, and surgical reform is the driving force for surgical development.