目的 :对治疗胰腺癌不同手术方法进行比较 ,并总结相关经验。方法 :讨论目前治疗胰腺癌的各种手术方法 ,包括Whipple手术、保留幽门的胰十二指肠切除术、胰腺次全和全切术、区域性胰腺切除术以及广泛的淋巴结清扫等。结果 :尚无任何其它术式能改善患者生存时间、死亡率和可切除率。结论 :尽管外科手术治疗胰腺癌已取得一些进展 ,但总的预后仍难以令人满意。对于治疗胰腺癌 ,外科医生很可能仍保持原有术式的选择 Objectives: To compare different surgical methods for the treatment of pancreatic cancer and to summarize relevant experience. Methods :To discuss various surgical methods for the treatment of pancreatic cancer, including Whipple surgery, pylorus-preserving pancreaticoduodenectomy, pancreatic subtotal and total resection, regional pancreatectomy, and extensive lymph node dissection. RESULTS: There were no other procedures that could improve survival, mortality, and resection rates. Conclusion: Although some progress has been made in surgical treatment of pancreatic cancer, the overall prognosis remains unsatisfactory. For the treatment of pancreatic cancer, the surgeon is likely to remain the original surgical choice