鉴于用胰十二指肠切除术治疗壶腹部癌尚有争论,作者复习了 M D Aderson 医院和肿瘤研究所治疗乏特氏壶腹癌的经验,藉以了解其存活率是否与文献报道的相同和手术治疗方式是否影响其长期存活率。临床材料,作者回顾1952年～1980年间36例男性和20例女性乏特氏壶腹癌患者资料,年龄为31～87岁。 Given the controversy over pancreatoduodenectomy for ampullary carcinoma, the author reviewed MD Aderson Hospital and Cancer Institute’s experience in the treatment of ampullary adenoma in order to find out if the survival rate is the same as reported in the literature and surgery. Whether the treatment method affects its long-term survival rate. For clinical materials, the authors reviewed data on 36 cases of ampulla of ampulla of men and women of the age of 31 to 87 years from 1952 to 1980.