本文介绍17年来(1968.1～1984.12)经手术与病理证实的60例壶腹部周围癌的诊治经验,其中胰腺癌42例、壶腹癌12例、胆总管癌5例、十二指肠癌1例。作根治性十二指肠切除术与胰体尾部切除、大网膜清扫并脾切除术共12例,余48例仅做姑息性胆道、胃肠旁路手术或剖腹探查并病理组织活检。本文结合复习文献并就提高早期诊断和手术疗效,作一简要的阐述。 This article describes the diagnosis and treatment of 60 cases of periampullary carcinoma confirmed by surgery and pathology in 17 years (1968.1-1984.12), including 42 cases of pancreatic cancer, 12 cases of ampullary carcinoma, 5 cases of common bile duct cancer, and 1 case of duodenal cancer. . There were 12 cases of radical duodenal resection, pancreatic body and tail resection, omentum dissection, and splenectomy. The remaining 48 cases were only palliative biliary tract, gastrointestinal bypass surgery, or laparotomy and biopsy. This article will briefly review the combination of reviewing the literature and improving early diagnosis and surgical outcomes.