The progress time caput pancreatis cancer expands the root governing skill add-on complex therapy to cause 5 years survival rate distinct enhancement,the complication obvious reduction.The progress time caput pancreatis cancer expands in the root governing skill Canada to improve the Whipple technique type and the TACE clinical research h~ the distinct improvement in near forward quality of life,but this is the beneficial exploration after all,is treats the caput pancreatis cancer stubborn illness to the surgical operation to make great strides forward one step has the clinical practice value.Summarized the domestic and foreign recent years to progress the time caput pancreatis cancer surgical treatment method and the curative effect present situation.The discussion progress time caput pancreatis cancer expands the root governing skill the clinical research curative effect prospect.

Objective To retrospeetivley explore the expanded radicM resectable range and improved Surgical approach of the progressive pancreatic head cancer with metastasis of portal vein(PV) and liver,and try to improve the resectable rate.survival rate and quality of life.Methods The patients witll late pancreatic cancer sis of partial PV resection and 8 cases of left leaf or right leaf sectional hepatectomy partial were involved in 27 cases,reconstructed gastrointestinal tract with improved Whipple interposed Y-type jejunostomy and PV.27 cases were randomly divided into intervention chemotherapy of treatment groups(n=13) and control groups(n=14).Results Severe complications or dead cases were not found in 27 cases after operation.The 2-,3-,5-years survival rates were 61.5%,38.4%,23.0%,and 42.8%,21.4%,14.3% in treatment group and control group,respectively.The survival rate was statistically different(P<0.05).Conclusions The expanded radical pancreatoduodenectomy and its improved surgical approach can improve not only the survival rate but also the quality of life.