自从1935年Wede首先采用胰十二指肠切除术治疗胰头癌和壶腹部癌获得成功以来，这一手术已得到广泛开展，手术技术和消化道重建方式也有了很大的改进。手术切除率有了明显增高，而手术后并发症和术后死亡率也逐渐降低。现将我院近年来共施行的胰十二指肠切除术四例作初步探讨。l Since Wede first used pancreaticoduodenectomy for the treatment of pancreatic head cancer and ampulla cancer in 1935, this operation has been widely carried out, and surgical techniques and digestive tract reconstruction methods have also been greatly improved. The rate of surgical resection has increased significantly, and postoperative complications and postoperative mortality have gradually decreased. Four cases of pancreatoduodenectomy performed in our hospital in recent years have been initially discussed. l