Vater壶腹腺癌是第二常见的壶腹周围恶性肿瘤，大多数报告表明，本病与其他胰腺壶腹周围癌相比，其切除率较高，预后亦较好。但先前已报道的壶腹癌研究通常因病例数相对少而难以获得明确结论。本研究旨在回顾JohnsHopkins医院28年中关于Vater壶腹腺癌的治疗经验并确定影响Vater Vater ampullotoma is the second most common periampullary malignancy. Most reports indicate that this disease has a higher resection rate and better prognosis than other peri-ampullary pancreatic cancers. However, previously reported ampulla cancer studies are often difficult to obtain a definite conclusion because of the relatively small number of cases. The purpose of this study was to review the 28-year treatment experience of Vater’s ampulla adenocarcinoma at Johns Hopkins Hospital and determine the impact Vater