Vater壶腹部肿瘤与胰头肿瘤临床发病过程有许多相似之处,外科治疗上一直沿用Whipple胰十二指肠切除术做为标准治疗术式.现已认识到Vater壶腹部肿瘤与胰头部肿瘤有着明显不同的生物学特性及治疗效果,因此,在治疗观念上和手术方法上应该有所转变和改进. Vater ampulla tumors have many similarities with the clinical pathogenesis of pancreatic head tumors. Whipple pancreatoduodenectomy has been used as a standard therapy in surgical treatment. Vater ampulla tumor and pancreatic head tumor have been recognized There are obviously different biological characteristics and therapeutic effects. Therefore, there should be changes and improvements in the treatment concept and surgical methods.