壶腹周围癌是一种比较少见的恶性肿瘤，自１９７２～１９９４年，上海地区肝胆癌的发病率急增，男性增加１１９％、女性１２４％［１］，但早期诊断率仍然很低。多数在癌肿进展至晚期，出现阻塞性黄疸后才能确定诊断，因此病灶的切除率低，疗效差，多数病人只能作减压性胆肠引 Periampullary cancer is a relatively rare malignant tumor. Since 1972 to 1994, the incidence of hepatobiliary cancer in Shanghai has increased rapidly. Men have increased by 119% and women by 124%[1], but the early diagnosis rate is still very low. Most of the cancers have advanced to the late stage and can be diagnosed after obstructive jaundice. Therefore, the resection rate of the lesions is low and the efficacy is poor. Most patients can only perform decompressive biliary and intestinal induction.