[Chinese expert surgical procedure consensus on open pericardial devascularization(2021)]

Area of Science:

• Gastroenterology and Hepatology
• Surgical Oncology
• Clinical Practice Guidelines

Background:

• Esophageal and gastric varices bleeding in portal hypertension necessitates diverse treatment strategies.
• Surgical intervention, particularly pericardial devascularization, retains significant importance in managing this condition.

Purpose of the Study:

• To standardize surgical procedures for portal hypertension treatment in China.
• To provide clinical guidance for surgeons managing esophageal and gastric varices bleeding.
• To improve the overall quality of surgical interventions for portal hypertension.

Main Methods:

• Formulation of a consensus by Chinese experts from leading surgical societies.
• Inclusion of key aspects: surgical positioning, indications/contraindications, preoperative evaluation, procedural details, perioperative management, and complication management.
• Emphasis on standardization and prevention of postoperative complications, especially portal vein thrombosis.

Main Results:

• The consensus outlines the established position of surgical treatment in the multidisciplinary approach to portal hypertension.
• It details critical elements of surgical procedures, from patient selection to postoperative care.
• Specific attention is given to preventing and managing postoperative portal vein thrombosis.

Conclusions:

• Surgical treatment is an indispensable component in managing portal hypertension and its complications.
• Standardization of surgical techniques and perioperative management is essential for optimal patient outcomes.
• The consensus serves as a vital resource for surgeons, enhancing the treatment of portal hypertension.