Brief description of the disease ***, male, 46 years old, hospitalization number 4376217 . Diagnosis: 1) esophagogastric fundic varices; 2) portal hypertension with portal vein thrombosis; 3) hypersplenism with large splenic infarction; 4) cirrhosis with hepatic decompensation; 5) multiple sclerotherapy endoscopy; 6) hepatitis C (extended); History: 1) 20 years history of extended hepatitis C; 2) one gastrointestinal hemorrhage in 2005; 3) March 2010 Multiple gastrointestinal hemorrhage, second sclerotherapy endoscopy; physical examination: severe anemia, liver disease, no jaundice, moderate ascites, splenomegaly of third degree, no swelling of lower extremities; CT: cirrhosis, portal hypertension, splenomegaly with large lamellar hypodensity shadow in the spleen, varices in the lower esophagus and fundus, filling defects in the main trunk and right branch of portal vein and superior mesenteric vein, moderate ascites; liver function Child- Grade C, platelets 22,000, WBC 1.2+109/L, Hb 77g/L. Liver function reserve test: ICG plasma clearance rate K: 0.049/min, ICG 15min retention rate R15: 48.0%, R15m: 36.8%. Treatment: The patient and family were repeatedly mobilized for liver transplantation and all indicated that they would not consider it. On May 13, 2010, selective combined dissection was performed under general anesthesia. Intraoperative liver atrophy with nodule-like changes, marked dilatation of the portal choroidal traffic branch with multiple perforation formation, dilated umbilical vein, marked opening of the retroperitoneal traffic branch, splenomegaly with large splenic infarction, 2000 ml of ascites, FPP 45 cmH2O, and FPP 30.5 cmH2O after surgery. He was discharged from the hospital on June 02. Question: Is the treatment plan already in place the best? Are there any other safer options? Follow-up: Everything was normal at the follow-up in September 2011.