胰腺肿瘤,特别是胰头肿瘤发病率近年来有所上升,但由于医疗条件、经济状况等来院时间较晚,手术切除率很低,死亡率也较高。特别是术后各种吻合口漏、吻合口周围感染等使患者死亡或延长治疗时间,增加了术后死亡率及经济负担和痛苦。我们从1984年至1993年共收治胰头、壶腹部肿瘤24例。男18例女6例,年龄40—66岁。其中剖腹探查腹腔内明显转移失去手术机会而放弃手术7例,作减黄内引流11例,6例行胰十二指肠切除,切除者均采用chllol氏吻合改良方法,采取综合措施予防吻合口漏的发生,6例患者术后未发生吻合口漏,效果满意,报告如下: The incidence of pancreatic tumors, especially pancreatic head tumors, has risen in recent years. However, due to medical conditions, economic conditions, and other late arrivals, the rate of surgical resection is low and the mortality rate is high. In particular, various postoperative anastomotic leaks and infections around the anastomosis have caused death or prolonged treatment time, which has increased postoperative mortality, economic burden, and pain. From 1984 to 1993, we treated 24 cases of pancreatic head and ampulla tumors. 18 males and 6 females were aged 40-66 years old. Among them, seven cases were aborted due to a laparotomy and significant loss of surgical opportunities in the abdominal cavity. 11 cases were treated with internal drainage in the reduction of yellow, and 6 cases underwent pancreatoduodenectomy. The chllol’s anastomosis was used for the resection. The comprehensive measures were taken to prevent the anastomosis. Leakage occurred, and 6 patients had no anastomotic leakage after operation. The results were satisfactory. The report is as follows: