壶腹部肿瘤局部切除术由Halsted在 1899年首次报道 ,当时由于手术技术的风险而被忽视。自 193 5年Whip ple施行胰十二指肠切除术 (PD)成功以来 ,PD一直是治疗壶腹部肿瘤的经典手术 ,但由于手术时间长、创伤大、并发症发生率及手术死亡率高 ,而不适于有高危因素的病人。自 2 0世 Local amputation of the ampulla was first reported by Halsted in 1899, when it was overlooked because of the risk of surgical technique. PD has been a classic procedure for the treatment of ampullary tumors since the success of pancreaticoduodenectomy (PD) by Whip ple in 1985. However, due to the long duration of surgery, the large trauma, the high incidence of complications and the high mortality rate, Not suitable for patients with risk factors. Since 20 world