Liu Shan-Shan, Xie Hong-Yu, Chang Hao-Dong, Wang Liang, Yan Su
Department of Gastrointestinal Oncology Surgery, The Affiliated Hospital of Qinghai University, Xining 810000, Qinghai Province, China.
World J Gastrointest Surg. 2024 Nov 27;16(11):3413-3424. doi: 10.4240/wjgs.v16.i11.3413.
Following laparoscopic gastrectomy (LG), one of the critical complications that can arise is a pancreatic fistula (PF). The inability to promptly prevent, diagnose, and manage this condition can lead to severe complications and potentially be life-threatening for the patient. The incidence of PF post-LG in gastric cancer treatment is related to factors such as surgical approach, surgical instruments, characteristics of the pancreas itself, tumor stage, and the surgeon's experience. Currently, the diagnosis of postoperative PF is mainly based on the definition and diagnostic criteria consensus established by the International Study Group of Pancreatic Surgery. Gastrointestinal surgeons should be aware of the risk factors for PF, perform LG for gastric cancer with great care and precision, avoid pancreatic injury, and actively work to reduce the risk of postoperative PF.
腹腔镜胃切除术后（LG）可能出现的一种严重并发症是胰瘘（PF）。若不能及时预防、诊断和处理这种情况，可能会导致严重并发症，甚至对患者生命构成威胁。胃癌治疗中LG术后PF的发生率与手术方式、手术器械、胰腺本身特征、肿瘤分期以及外科医生的经验等因素有关。目前，术后PF的诊断主要基于国际胰腺手术研究组制定的定义和诊断标准共识。胃肠外科医生应了解PF的危险因素，谨慎、精确地进行胃癌的LG手术，避免胰腺损伤，并积极努力降低术后PF的风险。
