1临床资料1982年1月至2002年1月,我院普外科施行胰十二指肠切除术50例,全组男36例,女14例,平均年龄62岁(35~78岁),经病理切片检查主要为壶腹周围癌占42%,外伤占10%,右上腹直肌切口,经典Whipple手术,Child吻合。2结果全组平均手术时间为6 h,平均失血量200 ml,胰漏发生10例,占10% 1 clinical data January 1982 to January 2002, general surgery in our hospital 50 cases of pancreatoduodenectomy, the whole group of 36 males and 14 females, mean age 62 years (35 to 78 years old), the Pathological examination of the main ampullary cancer 42%, trauma 10%, right upper quadrant rectus incision, classic Whipple surgery, Child anastomosis. 2 Results The average operation time was 6 h, the average blood loss 200 ml, 10 cases of pancreatic leakage occurred, accounting for 10%