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腹腔镜胃癌根治术后胰瘘发生率相对较低，但一旦发生往往会造成较为严重的后果，本案例介绍了腹腔镜胃癌根治术后胰瘘并最终导致十二指肠残端迟发瘘的病情演变过程，从原因分析到治疗措施等方面进行归纳总结，以此提高大家对胃癌术后胰瘘的认知及治疗水平。“,”The incidence of pancreatic fistula after laparoscopic gastrectomy is relatively low, but once it happens, it will often cause serious consequences. This case introduces the evolution process of pancreatic fistula after laparoscopic gastrectomy and the ending of delayed duodenal stump fistula. It summarizes the causes and treatment measures, so as to improve the cognition and treatment of pancreatic fistula after gastric cancer surgery.