The role of devascularization in cirrhotic portal hypertension and related controversies / 临床肝胆病杂志

ABSTRACT

Gastroesophageal variceal bleeding and hypersplenism caused by portal hypertension seriously threaten the life of patients with liver cirrhosis. At present, devascularization is still one of the important surgical procedures for the treatment of portal hypertension; however, the development of the treatment methods such as drugs, endoscopy, and interventional treatment has caused the controversies over the role, surgical indications, and surgical timing of devascularization in the treatment of portal hypertension, as well as whether splenectomy is needed. This article reviews the role of devascularization and related controversies and points out that devascularization is still irreplaceable. Individualized, comprehensive, and minimally invasive treatment regimens should be developed for portal hypertension, so as to bring maximum benefits to patients with minimal invasiveness.