为克服乏特氏壶腹癌局部切除术后的合并症──十二指肠瘘，而行术式改进。方法：局部肿瘤切除及重建完成后，于十二指肠第一段应用丝线结扎十二指肠，使之完全关闭，再补以胃空肠吻合术，使食物不流经十二指肠，而大大避免了十二指肠瘘的发生。此种十二指肠结扎伴胃空肠吻合术可用于十二指肠及乏特氏壶腹区域肿瘤伴出血、内瘘无法切除者，或十二指肠损伤无法修补或修补不确切时。 In order to overcome the complications of local excision of the ampulla of Vater ─ ─ duodenal fistula, and surgical improvement. METHODS: After local tumor resection and reconstruction were completed, the first part of the duodenum was ligated with silk thread to completely close the duodenum, and then gastrojejunostomy was added to make the food not flow through the duodenum. Greatly avoid the occurrence of duodenal fistula. This type of duodenal ligation with gastrojejunostomy can be used for duodenal and ampulla area tumors with hemorrhage, unresectable internal hemorrhoids, or when duodenal injury cannot be repaired or patched indefinitely.