Patient female, 17 years old, hospitalization number 4629997, was admitted to the hospital on July 06, 2015 due to 8 years of fundic varices and 3 years of recurrent vomiting of blood and black stools. The patient underwent “splenorenal bypass + splenectomy + autologous spleen slice transplantation” 8 years ago for bleeding fundic varices, and 5 years after the surgery, she had recurrent vomiting of blood and black stools, which became more frequent and aggravated, and the external gastroscopy showed severe varices in the esophagogastric fundus with positive red sign, and the external liver CTA showed portal vein spongiosis with multiple collateral vessel formation open On July 16, 2015, we performed complex intestinal adhesion release + selective combined dissection + liver biopsy, intraoperatively we saw: extraperitoneal part of splenic tissue about 6*4 CM, large omentum about 5*3 CM, extensive abdominal adhesions, failed to find ideal portal vein branches for FPP measurement, respectively, 6 branches of gastric perforation, straight through 0.2 – 0.5 The FPP measurement was performed by dissecting 6 gastric perforators with 0.2–0.5 CM and 5 esophageal perforators with 0.2–0.3 CM, preserving the portal vein, and performing combined intramural and extramural dissection. Postoperative pathology showed mild hepatocellular siltation and highly dilated interstitial vessels of the esophagus and stomach. Postoperative recovery was uneventful and he was discharged on 07/29/2015.