关键词: 门静脉高压症, 食管胃底静脉曲张, 出血

Abstract: Progress and prospect of surgical treatment for portal hypertension        YANG Lian-yue. Department of Surgery, Xiangya Hospital of Central South University, Changsha 410008, China
Abstract    The treatment mode of portal hypertension has changed from a single discipline based on experience to multidisciplinary team (MDT). Surgical treatment for portal hypertension will be complementary to drugs, endoscopic esophageal variceal ligation（EVL）, transjugular intrahepatic portosystemic shunt（TIPS）and liver transplantation. Under the MDT diagnosis and treatment mode, it is necessary to re-examine and locate the roles of surgical treatment for portal hypertension. General surgeons should face the problems, and pay attention to the development of new methods, technologies and concepts, and strive to promote the standardization, individualization, refinement and less invasive. We should try our best to standardize the indications of surgery, identify the patients who are most suitable for surgery, master the operation mode and operation opportunity, optimize the diagnosis and treatment plan to the greatest extent, and maximize the clinical benefits of patients. Based on the correct understanding and promotion of the development of surgical treatment for portal hypertension, Chinese scholars should encourage the development of clinical multicenter randomized controlled trials based on evidence-based medicine, so as to formulate portal hypertension in accordance with China's national conditions guidelines and consensus on surgical treatment to improve international voice.

Key words: portal hypertension, gastroesophageal varices, bleeding