胰腺癌恶性程度高、预后差,根治性手术切除是胰腺癌病人获得长期生存的惟一希望,也是延长病人生存期的主要手段。然而,胰腺癌手术切除长期以来是一种高风险、高难度的腹部外科手术,存在着切除率低、并发症发生率高、手术死亡率高、术后远期存活率低的问题。因此,应合理把握手术适应证和选择治疗方式,提高手术技术,加强围手术期处理,以提高胰腺癌手术的安全性及手术质量,降低并发症发生率及病死率。 Pancreatic cancer has a high degree of malignancy and a poor prognosis. Radical surgical resection is the only hope for patients with pancreatic cancer to obtain long-term survival and is the main means to prolong the survival of patients. However, surgical resection of pancreatic cancer has long been a high-risk and difficult abdominal surgery, with the problems of low resection rate, high complication rate, high operative mortality rate and low postoperative long-term survival rate. Therefore, we should reasonably grasp the surgical indications and treatment options to improve the surgical techniques and strengthen the perioperative management to improve the safety of pancreatic cancer surgery and surgical quality, reduce the incidence of complications and mortality.