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保留十二指肠的胰头切除术最初用于慢性胰腺炎引起的胰头部肿块，自Beger于1972年首次提出该术式后，经过近40年的临床实践，衍生出许多改良术式，其适用范围逐渐延伸至胰头部良性肿瘤、交界性肿瘤甚至低度恶性肿瘤的治疗。不同术式在适用范围、胰头切除范围、血供保留、消化道重建技术上各有其特点，本文就其适应证、目前常见的术式的要点及临床应用进展做一综述。“,”Duodenum-preserving pancreatic head resectionwas originaly used for the treatment of chronic pancreatitis with mass onthe pancreatic head.Since Beger first proposed the operation in 1972, many modified procedures reported,after nearly 40 years clinical practice, their applicable scope gradualy extend to treatment of benign tumor, even the low-grade malignant tumor in the pancreatic head. Different modified procedureshas its characteristic,such as the scope of application, scope of the pancreatic head resection, blood supply retention and digestive tract reconstruction technique.ln this paper,we make a review of the main points and the clinical application of the common modified procedures.