德国每年新发胰腺导管腺癌病例约16000例,2010年死亡约15500例,其发病率与死亡率相当,5年生存率仅8%,为所有癌症中最低的。确诊较晚、早期转移和可治愈性的切除率低是胰腺癌高病死率的主要原因。本文结合作者在德国学习期间的经验及文献复习,就德国胰腺癌外科治疗的目标、病理分级要求、可切除性判断指标、术前胆道引流、腹腔淋巴结清扫范围、胰十二指肠切除术式特点以及复发再手术问题等近年来的最新进展作一简要综述。 In Germany, about 16,000 cases of newly diagnosed pancreatic ductal adenocarcinoma each year and about 15,500 cases of death in 2010 are associated with a similar incidence and mortality rate and a 5-year survival rate of only 8%, the lowest of all cancers. Late diagnosis, early metastasis and low cure rate of resection is the main reason for high mortality of pancreatic cancer. Based on the author’s experience and literature review during his study in Germany, this article reviews the goals of surgical treatment of pancreatic cancer in Germany, the pathological grading requirements, the indexes of resectability, the preoperative biliary drainage, the range of lymph node dissection, the pancreaticoduodenectomy Characteristics and recurrence of the problem and so on the latest progress made a brief review.