关键词: 胃癌根治术, 胰瘘, 预防, 治疗

Abstract:

Prevention and treatment of pancreatic fistula after radical gastrectomy        SU Xiang-qian，ZHOU Chuan-yong，YANG Hong. Department Ⅳ of Gastrointestinal Surgery，Beijing Cancer Hospital & Institute，Peking University Cancer Hospital，Peking University School of Oncology，Key Laboratory of Carcinogenesis and Translational Research（Ministry of Education），Beijing 100142，China
Corresponding author：SU Xiang-qian，E-mail: suxiangqian@
bjmu.edu.con
Abstract    Radical surgical resection is the main therapy of gastric cancer. Postoperative pancreatic fistula （POPF） is one of the major complications that can occur after radical gastrectomy with lymphadenectomy. It may endanger the patients’lives if proper treatment could not be afforded. The POPF after radical gastric surgery is closely related with surgical procedures, technique of using metal forceps, the basic situation of pancreas and patients. Gastrointestinal surgeons should be aware of the risk factors of POPF and pay more attention on them，to secure an accurate procedure to prevent it as possibly. POPF after radical gastric surgery should adopt appropriate treatment based on classification to improve prognosis.

Key words: radical gastrectomy, pancreatic fistula, prevention, treatment