胰十二指肠切除术(pancreaticoduodenectomy ,PD)是治疗胰腺和壶腹周围恶性肿瘤的主要方法,手术复杂,创伤大,并发症多,死亡率高。随着胰腺癌手术切除率的提高,进一步降低手术并发症及死亡率,是胰腺外科必然面对的问题,其中胰漏是胰十二指肠切除术后并发症与手术死亡原因中的主 Pancreaticoduodenectomy (PD) is the main method for the treatment of malignant tumors in the pancreas and ampulla. It is complicated by surgery, large trauma, multiple complications and high mortality. With the improvement of surgical resection rate of pancreatic cancer, to further reduce the surgical complications and mortality, pancreatic surgery is bound to face the problem, in which pancreaticoduodesis is the main cause of postoperative pancreatoduodenectomy and surgical death