关键词: 门静脉高压症, Da Vinci 手术机器人, 贲门周围血管离断, 脾切除

Abstract: 【Abstract】 Esophagogastric devascularization with or without splenectomy is the main choice of surgical treatment for portal hypertension. In recent years, as the concept of minimal invasive surgery and the surgical technology developing，laparoscopic splenectomy plus esophagogastric devascularization， an original and promising surgical procedure creating by academics of our country, is gradually accepted by academics at home and abroad. However，this procedure is limited by the situation of splenomegalia and poor coagulation status. Moreover, the visual field and operating space during laparoscopy is not satisfying. Hence splenectomy plus esophagogastric devascularization using laparoscope is still a high?risk and high?challenge procedure. Da vinci surgery system can effectively make up for the disadvantage of laparoscopy in visual field and operating space, which make minimal invasive surgery for portal hyperten?sion safer and more practicable. Here，we summarize two cases of portal hypertension treating with Da vinci surgery system，and provide our initial experiences.

Key words: pericardial devascularization, robotic Da Vinci, portal Hypertension, splenectomy