关键词: 胃癌, 消化系统外科手术, 术后并发症, 胆瘘

Abstract: 【Abstract】 Objective To investigate the etiology, clinical manifestations, diagnosis and treatment of the biliary fistula after radical resection of gastric cancer. Methods The clinical data of seven patients with biliary fistula after radical gastrectomy were retrospectively analyzed. Results Two patients were found biliary fistula symptoms in the third day after surgery and two case appeared in the fourth day. The other trree patients were found biliary fistula in sixth, seventh and tenth, respectively day after surgery. All seven patients were appeared right upper quadrant pain in varying degrees, tachycardia (HR>120 bmp), fever (body temperature>38.5℃) and elevated blood leukocyte (WBC count>15×109/L). Six of 7 patients were cured by conservative treatment in three to eight weeks, and another one patients were cured after reoperation drainage of 8 weeks. Conclusion Intraoperative common bile duct injury is the main cause of biliary fistula after the radical resection of gastric cancer. Postoperative early diagnosis and adequate drainage is the key to cure the biliary fistula after radical resection of gastric cancer.

Key words: Gastric cancer, Digestive system surgery, Postoperative complications, Biliary fistula