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目的总结外科手术治疗原发性肝癌合并胆管癌栓的方法及要点。方法本组肝癌切除后，自肝断面胆管残端清除癌栓；胆总管切开取出癌栓并与肝断面上的胆管“会师”。结果随访１年，健在６例，死亡１例。结论肝癌切除加胆管癌栓清除术对伴发胆管癌栓的原发性肝癌不失为一种积极有效的治疗方法
Objective To summarize the methods and main points of surgical treatment of primary liver cancer with biliary tumor thrombosis. Methods After the resection of hepatocellular carcinoma in this group, the tumor thrombus was removed from the bile duct stump of the liver; the common bile duct was incised to remove the tumor thrombus and the bile duct on the cross-section of the liver was “reconstructed”. The results were followed up for 1 year. 6 patients were alive and 1 died. Conclusion Liver cancer resection plus bile duct tumor embolectomy is a positive and effective treatment for primary hepatocellular carcinoma associated with bile duct thrombosis.