Increased intravascular pressure leads to: 1. obstruction of esophagogastric vascular reflux, expansion and varices of the collateral circulation, easily leading to gastrointestinal bleeding 2. obstruction of splenic vascular reflux, spleen stasis, increased spleen volume, hypersplenism, killing blood cells, highlighted by thrombocytopenia, later will appear white blood cells, red blood cells are down. So the root cause is cirrhosis, portal hypertension; once the portal hypertension bleeds, it is easy to bleed again, a vicious circle. 1, simple bleeding, there are endoscopic means of treatment and surgical means. The advantage of endoscopic treatment is that it is less invasive, the disadvantage is that the effect is not always exact and cannot solve the problem of hypersplenism. 2.Surgery: The common treatment is splenectomy, which can solve the problem of hypersplenism and partially reduce the portal vein pressure, thus reducing the risk of bleeding. However, splenectomy and dissection cannot completely solve the problem of high portal vein pressure, so we can also consider performing “shunt” surgery at the same time, which is to make an anastomosis between splenic vein and renal vein to reduce portal vein pressure and further reduce the risk of bleeding. At present, the above surgery can be done in our center by “minimally invasive” laparoscopic surgery, which reduces surgical trauma and facilitates postoperative recovery. However, the need and suitability of the procedure and whether it can be done “minimally invasively” depends on the patient’s specific situation, including liver function, physical status, presence of ascites, CT condition, etc.