Abstract: The pancreas located behind the peritoneum is a parenchymatous organ with a deep anatomical position and the surgical procedure for pancreatic diseases is complicated. And the pancreaticoduodenectomy (PD) is the most challenging operation in the field of pancreatic surgery even the abdominal surgery due to its large extent of resection and complexity of digestive tract reconstruction. Surgeons should select the most reasonable reconstruction methods on the basis of specific operative situation and surgical proficiency in order to ensure the qua lity of PD as well as prevent the postoperative complications.