目的　为了提高晚期肝门部恶性胆道梗阻病人的生存期和生活质量。方法　对 8例晚期肝门部恶性胆道梗阻患者施行多肝段月牙形切除的改良式肝肠内引流术并进行随访。结果　全组无手术死亡和吻合口瘘 ,术后 2周总胆红素下降 72 4%。随访 6例 ,平均生存期 19个月。结论　该术式是晚期肝门部恶性胆道梗阻有效且可行的姑息性手术。 Objective To improve the survival and quality of life of patients with malignant biliary obstruction in the late hilar segment. Methods Eight patients with malignant hilar bile duct obstruction at the portal hepatis were undergoing modified hepatic bowel drainage with multi-phase hepatic resection and followed up. Results There was no operative death and anastomotic leakage in the whole group. Total bilirubin decreased by 72% after 2 weeks. Follow-up was performed in 6 patients and the average survival period was 19 months. Conclusion This surgical procedure is an effective and feasible palliative operation for advanced malignant hepatic biliary obstruction.