胰头部肿瘤恶性居多，待发病时常有侵犯周围血管，联合血管切除的肿瘤根治术为当前讨论的焦点，随着外科技术的不断发展，联合血管切除的胰头部肿瘤手术已被证明是安全可行的。开展联合血管切除的胰十二指肠切除术应仔细做到术前详细评估，术中准确判断，术式合理选择，并由具备血管外科技术的医师进行血管吻合。

Selection and evaluation of the PD combined with vascular resection PENG Cheng-hong, JIN Jia-bin, DENG Xia-xing. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai200025, China Corresponding author: PENG Cheng-hong,E-mail: chhpeng@188.com Abstract The majority of pancreatic head tumor is malignant, which invades often the nearby vascular (PV, SMV, CA, SMA, etc.). The value of mesentericoportal vein resection (VR) associated with pancreaticoduodenectomy (PD) for pancreatic-head adenocarcinoma still remains controversial. Affirmatively, venous resection can be safely performed. Pre-and Intraoperative assessment is needed to define the relationship of a pancreatic head neoplasm to adjacent vascular structures. Surgeons who perform PD should have experience of vascular surgery.