中文摘要：

根治性手术是胃癌的主要治疗方法。胰痿是胃癌根治术后的主要并发症之一，处理不及时可能危及病人生命。胃癌根治术后胰瘘的发生主要与手术方式、器械操作、胰腺和病人全身的基本情况密切相关。胃肠外科医生应该熟悉胰瘘发生的危险因素并加以关注，加强预防。胰瘘的治疗应根据分期而定，及早治疗，从而改善预后。

英文摘要：

Radical surgical resection is the main therapy of gastric cancer. Postoperative pancreatic fistula （POPF） is one of the major complications that can occur after radical gastrectomy with lymphadenectomy. It may endanger the patients＇ lives if proper treatment could not be afforded. The POPF after radical gastric surgery is closely related with surgical procedures, technique of using metal forceps, the basic situation of pancreas and patients. Gastrointestinal surgeons should be aware of the risk factors of POPF and pay more attention on them, to secure an accurate procedure to prevent it as possibly. POPF after radical gastric surgery should adopt appropriate treatment based on classification to improve prognosis.