Abstract：Objective To summarize the research progress on the anatomical features of pancreatic CT imaging in pancreatic fistula after gastric cancer surgery and determine the role of pancreatic CT imaging in predicting the risk of pancreatic fistula after surgery. Methods PubMed, CNKI, Wanfang Data, and other databases were searched using "胃肿瘤" "胰瘘" "解剖学" "计算机断层扫描" "stomach neoplasm" "pancreatic fistula" "anatomy" and "computed tomography" as Chinese and English key words. All pancreatic CT imaging studies related to pancreatic fistula after gastric cancer surgery dating from January 2000 to July 2022 were included in the search. A total of 620 papers were included, and duplicate papers and inconsistent contents were excluded. Full-text and low-quality studies could not be obtained, so 24 studies were included for summary analysis. Results Through preoperative CT examination of patients with gastric cancer, the imaging and anatomical characteristics of the pancreas, such as the shape of the pancreatic head and the degree of fatty infiltration, as well as the anatomical relationship between the pancreas and the left gastric artery, common hepatic artery, abdominal aorta, and celiac trunk were understood. The above-mentioned anatomical features and parameters were used to evaluate the pancreatic status of patients with gastric cancer in a comprehensive and detailed manner before surgery and showed a good predictive effect on the risk of pancreatic fistula after surgery. Conclusion Full evaluation of the shape of the pancreatic head and the degree of fatty infiltration, as well as the anatomical relationship between the pancreas and the left gastric artery, common hepatic artery, abdominal aorta, and celiac trunk obtained by preoperative CT examination in patients with gastric cancer can help predicting the risk of pancreatic fistula in patients with gastric cancer after surgery.
王雅权, 闫宇, 董胜利. 胃癌患者胰腺CT影像解剖特点及其预测根治术后胰瘘的研究进展[J]. 中华解剖与临床杂志, 2022, 27(12): 877-880.
Wang Yaquan, Yan yu, Dong Shengli. Research progress on pancreatic CT anatomic features and prediction of postoperative pancreatic fistula in patients with gastric cancer. Chinese Journal of Anatomy and Clinics, 2022, 27(12): 877-880.
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2022, Vol. 27 
