多年来对重症恶性梗阻性黄疸病人施行根治性手术前需减黄，作者报告３侧重症恶性梗阻性黄疸病人施行一期胰十二指肠切除术获得成功，并结合文献复习对此类患者术前是否需减黄加以讨论。作者同意不减黄施行一期手术，强调加强术前准备和术后处理工作。 Over the years before the implementation of radical surgery for patients with severe malignant obstructive jaundice need to reduce the yellow, the author reported 3 patients with severe malignant obstructive jaundice in patients with pancreatoduodenectomy performed a successful, combined with the literature review of such patients Before the need to reduce the yellow to be discussed. The authors agree not to reduce the implementation of a surgery, emphasizing the strengthening of preoperative preparation and post-treatment work.