Surgical treatment of postoperative rebleeding in patients with portal hypertension: an analysis of 70 cases FENG Liu-shun, LI Wei, LI Jie, et al. Department of General Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China Corresponding author：FENG Liu-shun, E-mail: xiaojun05312201@126.com Abstract Objective To evaluate surgical treatment of postoperative rebleeding in patients with portal hypertension (PHT). Methods The clinical data of 70 cases of postoperative rebleeding in patients with PHT from January 1987 to December 2007 at the First Affiliated Hospital of Zhengzhou University were analyzed retrospectively. Results There were emergency operation in 5 cases and selective operation in 65 cases. C-type mesocaval shunt was done in 37 cases, inferior mesenteric vein-cava shunt (IMCS) in 7 cases, disconnection in 26 cases. Six cases died during hospitalization. Fifty-two cases were followed-up from 6 months to 7 years. Five cases died ( 2 cases died of primary hepatic carcinoma, 1 case died of liver function failure and heatic encephalopathy, and 2 cases died of upper gastrointestinal bleeding). Conclusion Patients with rebleeding after operation of PHT should be performed non-operative treatment at first, and selective surgery should be done later. If aggressive non-operative treatment is not successful, emergency operation should be performed. MCS, redisconnection and IMCS are relatively ideal methods for the surgical treatment.