Pedicled ligamentum teres hepatis in the prevention of duodenal stump fistula after gastrectomy

VernacularTitle:带蒂肝圆韧带预防胃癌术后十二指肠残端瘘的疗效
Author: Yingjun LIU ¹ ; Gangcheng WANG ; Xiaoyong LIU ; Pengbiao HUA ; Youcai WANG ; Guangsen HAN
Author Information

1. 450008,郑州大学附属肿瘤医院河南省肿瘤医院普外科
Keywords: Stomach neoplasms; Intestinal fistula; Round ligament
From: Chinese Journal of General Surgery 2018;33(4):273-275
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical effects of pedicled ligamentum teres hepatis in preventing duodenum stump fistula after resection of gastric cancer.Methods The clinicopathological data of 563 patients with gastic cancer who underwent resection from Jan.2013 to Dec.2016 were analyzed.Results Fourteen patients in the control group developed duodenum stump fistula.Four patients in the experimental group developed duodenum stump fistula.The incidence of duodenum stump fistula in the control group was 4.6％,while that in the experimental group was 1.5％ (x2 =4.356,P =0.037).All the 14 patients in the control group had high fever and 2 died of multiple organ failure,8 were cured with conservative treatment,and 4 received reoperation.For patients in the experimental group,moderate fever was observed in 2 patients and all were cured by conservative treatment.Conclusion Pedicled ligamentum teres hepatis was safe and effective to prevent duodenum stump fistula after resection of gastric cancer.