目的　介绍提高胰十二指肠切除术 (PD )的手术质量和疗效经验。方法　回顾性分析我院 1973～ 2 0 0 0年间采用PD传统Child术式 (4 1例 )和闭锁式胰腺套入吻合Child术式 (85例 )两组的术后并发症和手术死亡率。结果　闭锁式胰腺套入吻合Child手术组术后胰瘘发生率、手术死亡率分别为 2 .4%和 4.7% ,较传统Child术式组有显著降低 (P <0 .0 1)。结论　闭锁式胰腺套入child术式是安全、合理而实用的术式。 Objective To introduce the methods of improving the operation quality and efficacy of pancreaticoduodenectomy (PD). Methods The postoperative complications and operative mortality in our hospital from 1973 to 2000 in our department were analyzed retrospectively. Results The rate of pancreatic fistula occlusion in the operation group was 2.4% and 4.7%, respectively, which was significantly lower than that of the traditional Child operation group (P <0.01). Conclusion Closed pancreatic surgery into the child is safe, reasonable and practical procedures.