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患者,男,26岁。因胃体、幽门部癌向周围局部转移于1999年10月4日在本院行胃癌根治、十二指肠、上段部分空肠、胰头切除术。在消化道重建通道中,因胆总管内径较小而行胆囊空肠吻合术,以便让胆汁经胆囊管进入胆囊、空肠。术后3天患者开始出现黄疸并逐日加重。术后7天突然左上腹部
Patient, male, 26 years old. Due to gastric cancer and pyloric cancer metastasis to the surrounding local area, we performed radical gastrectomy, duodenum, upper jejunum, and pancreatic head resection at our hospital on October 4, 1999. In the digestive tract reconstruction channel, gallbladder jejunostomy is performed because the inner diameter of the common bile duct is small, so that the gallbladder can enter the gallbladder and jejunum. Three days after surgery, the patient began to develop jaundice and aggravate it day by day. Abruptly left upper abdomen 7 days after surgery