Surgical treatment of cirrhotic portal hypertension and its accompanied abdominal diseases

Surgical treatment of cirrhotic portal hypertension and its accompanied abdominal diseases is one of the medical problems currently. Accurate evaluation of the hepatic function reserve, degree of portal hypertension and accompanied abdominal disease is important to decrease the postoperative 〖JP2〗morbidity and mortality as well as to raise the efficacy. The surgical procedure selection should be based on the analysis of portal vein hemodynamics of patients. There are clear indications for portosystemic shunt, devascularization and combinative surgery with shunt and devascularization. Treatment for portal hypertension should be carried out when treating the accompanied abdominal diseases. The principle of operation, operation time, operation mode, operation sequence, staging indications and the key techniques of operation were discussed in the article. Only these principles be mastered, proper selection of surgical procedures 〖JP3〗and desired treatment effect with minimal trauma can be achieved.