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本文报告我院１９８３年１月～１９９６年１２月共行胰十二指肠切除术４４例，其中Ｖａｔｅｒ壶腹癌１７例、十二指肠乳头癌２２例、胆总管下段癌２例、胰头癌３例。胰十二指肠切除后消化道重建采用Ｃｈｉｌｄ’ｓ法１８例、胰胃吻合法２６例。手术死亡率前者１６７％（３／１８）、后者无手术死亡率。实践证明，胰胃吻合法操作相对简单、安全，能缩短手术时间，有效预防胰瘘等严重并发症发生，值得临床推广应用。胰十二指肠切除术的围手术期处理，关系到减少并发症降低死亡率的重要环节
This article reports 44 cases of pancreatoduodenectomy performed by our hospital from January 1983 to December 1996. Among them, 17 cases of Vater ampullary carcinoma, 22 cases of duodenal papillary carcinoma, 2 cases of lower common bile duct carcinoma, and pancreas Head cancer in 3 cases. Subsequent pancreatoduodenectomy for digestive tract reconstruction was performed using Child’s method in 18 cases and pancreaticogastric anastomosis in 26 cases. The former had a mortality rate of 16.7% (3/18) and the latter had no operative mortality. Practice has proved that pancreaticogastric anastomosis operation is relatively simple and safe, can shorten the operation time, effectively prevent pancreatic fistula and other serious complications, it is worthy of clinical application. Perioperative management of pancreatoduodenectomy is an important part of reducing complications and reducing mortality.