本文报道３１例胰腺和空腹周围癌诊治经验．本病早期无特异性症状，切除率低，疗效差。本组切除率２２．７％，３、５年生存率分发别为５７．１％和１４．２％。Ｂ超和ＣＴ是胰腺和壶腹周围癌病人首选的一种检查方法．术前是否施行减黄争论不一，笔者主张根据患者全身情况而定。预防胰漏重要方法之一是在胰管内放置细管通过空肠引出体外． This article reported 31 cases of diagnosis and treatment of pancreatic and fasting peripheral cancer. There were no specific symptoms in the early stage of the disease, and the resection rate was low and the efficacy was poor. The resection rate was 22.7% in this group, and the 3 and 5-year survival rates were 57.1% and 14.2%, respectively. B-ultrasonography and CT are the preferred methods for screening pancreas and peri-ampullary cancer patients. Whether or not to perform yellow reduction arguing before surgery is arguing differently, and the author advocates that it depends on the general condition of the patient. One of the important methods to prevent pancreatic leakage is to place a fine tube in the pancreatic duct to evacuate it through the jejunum.