自1935年Whipple报告胰十二指肠切除术治疗壶腹周围肿瘤以来,此术式已成为治疗该部位良恶性肿瘤的常规术式。近年来胰十二指肠切除术后死亡率已显著下降,手术安全性有显著提高,但其并发症发生率仍徘徊于40%~50%。胰肠吻合是标本切除后消化道重建的关键步骤,术后常易有吻合口漏? Since 1935 Whipple reported pancreatoduodenectomy for periimplantation tumors, this procedure has become the routine treatment of benign and malignant tumors in this area. In recent years, the mortality rate after pancreatoduodenectomy has dropped significantly, the safety of surgery was significantly improved, but the incidence of complications is still hovering at 40% to 50%. Anastomosis of the pancreas is the key step of reconstructing the digestive tract after resection of the specimen. It is easy to have anastomotic leakage after the operation.