肝门胆管癌，７０年代以前大多数病例难以切除，视为手术禁区。随着医学科学技术的快速发展，早期病例诊断率明显提高，手术切除率也提高至６０％左右。从１９８８～１９９６年共施行肝门胆管癌手术切除２６例取得较好效果。Ⅰ型（肝总管癌）１０例，Ⅱ型（肝管汇合部癌）７例，Ⅲ型（左肝管及肝总管癌）４例，Ⅳ型（右肝管及肝总管癌）３例，Ⅴ型（左、右肝管和肝总管癌）２例。手术方法为单纯肝门胆管癌切除，肝门胆管及半肝切除，肝中央部切除，扩大半肝切除后与空肠行Ｒｏｕｘ－ｅｎ－Ｙ吻合术。作者对手术切除方法，禁忌证，治疗效果等进行了详细讨论。所有病例均行胆管或肝断面与空肠吻合术，术后并发症少，再次手术少，疗效满意。 Hilar cholangiocarcinoma, most of the cases before the 1970s were difficult to remove and considered as a surgical exclusion zone. With the rapid development of medical science and technology, the rate of diagnosis in early cases has increased significantly, and the rate of surgical resection has also increased to about 60%. From 1988 to 1996, 26 cases of hepatic hilar cholangiocarcinoma were treated with good results. There were 10 cases of type I (liver general cancer), 7 cases of type II (canalization of hepatic duct), 4 cases of type III (left hepatic duct and common hepatic duct cancer), and 3 cases of type IV (right hepatic duct and common hepatic duct cancer). V type (left, right hepatic duct and hepatic ductal cancer) in 2 cases. The surgical methods were simple hepatic hilar cholangiocarcinoma resection, hilar bile duct and hepatectomy, central hepatectomy, and hemisection followed by Roux-en-Y anastomosis with jejunum. The author discussed in detail the surgical resection method, contraindications, and treatment effects. All cases underwent biliary or hepatic cross-section and jejunostomy with fewer postoperative complications and fewer reoperations with satisfactory results.