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于吉人(浙江大学医学院附属第一医院胃肠外科)十二指肠残端处理是胃癌根治手术的关键步骤之一,处置不当极易导致发生十二指肠残端漏、出血等并发症,轻则增加病人痛苦、延长住院时间、增加住院费用、延误病人全身化疗及其他后续治疗时机,重则导致病人死亡。笔者认为,恰当的残端加固缝合技术是减少甚至避免十二指肠残段并发症发生的关键环节。笔者单位在胃癌根治手术中常规行十二指肠残端的加固缝合,达到了有效避免十二指
YU Ji (Department of Gastrointestinal Surgery, the First Affiliated Hospital of Medical School, Zhejiang University) Treatment of duodenal stump is one of the key steps in the radical operation of gastric cancer. Improper disposal may easily lead to complications such as duodenal stump leakage and bleeding , Ranging from increasing patient suffering, prolonging hospitalization, increasing hospitalization costs, delays in patients with systemic chemotherapy and other follow-up treatment timing, leading to death of patients. The author believes that the appropriate stump reinforcement suture technology is to reduce or even prevent the occurrence of complications of duodenal stump the key link. The author of the unit in the radical operation of gastric cancer staging duodenal stump reinforcement, to effectively prevent the twelve fingers