胰腺癌的切除率仍低，约为10％～20％，提示确诊时病情多属晚期，其中50％病例有远处转移，35％为局部晚期病例，不能将门静脉与肿瘤分离从历史上列为切除术的局部禁忌证。1973年Former提出切除肿瘤与受侵的门静脉、肝动脉和肠系膜上动脉，但并发症和死亡率高。作者认为如胰腺 The resection rate of pancreatic cancer is still low, about 10% to 20%, suggesting that when the diagnosis is mostly advanced, 50% of cases have distant metastases, 35% are locally advanced cases, can not separate the portal vein and the tumor from the history Local contraindication for resection. In 1973 Former proposed to remove the tumor and the invaded portal vein, hepatic artery and superior mesenteric artery, but with high complications and mortality. Author considers pancreas