腹腔镜贲门周围血管离断术中国专家共识(2022版)

Chinese expert consensus on laparoscopic pericardial devascularization(2022 edition)

近年随着腹腔镜外科技术的快速发展,腹腔镜贲门周围血管离断术已在国内越来越多的医学中心推广应用。为了科学、合理与规范推广该技术,更好地指导临床实践,中华医学会外科学分会脾及门静脉高压外科学组组织国内相关专家,制订《腹腔镜贲门周围血管离断术中国专家共识(2022版)》。该共识秉承门静脉高压症外科治疗的规范化与微创化原则,主要内容包括:手术适应证、禁忌证,术前准备与麻醉方式,手术器械与设备,手术技术要点及注意事项,中转开腹指征,术后管理与术后常见并发症等,旨在规范腹腔镜贲门周围血管离断术的临床应用。

In recent years,with the rapid development of laparoscopic surgery,laparos-copic pericardial devascularization has been applied in more and more medical centers in China.In order to promote this technology in a scientific and standardized manner and to guide clinical practice,the Chinese Society of Spleen and Portal Hypertension Surgery from Chinese Society of Surgery of Chinese Medical Association organizes experts and formulates Chinese expert consensus on laparoscopic pericardial devascularization(2022 edition).This consensus adheres to the standardi-zation and minimally invasive principles of surgical treatment of portal hypertension,the main contents of which include indications and contraindications,preoperative evaluation and anesthesia method,surgical instruments and equipment,key points of surgical techniques and precautions,indications for intraoperative conversion to laparotomy,postoperative management and common postoperative complications,etc,in order to standardize clinical application of laparoscopic peri-cardial devascularization.