肝外胆管癌近年来有增多的趋向,原因是多方面的,而肝门部胆管癌占肝外胆管癌的50%以上,误诊率高,预后差,仍是当前外科治疗上的难题。从20世纪90年代以来,我们对确诊为肝门部胆管癌患者的治疗,抱着积极态度。然而,手术中发现胆管癌向肝十二指肠韧带浸润、淋巴结转移和门静脉癌侵 Extrahepatic bile duct cancer in recent years have an increasing trend for many reasons, and hilar cholangiocarcinoma of extrahepatic bile duct cancer accounted for more than 50%, high misdiagnosis rate, poor prognosis, is still the current surgical treatment of the problem. Since the 1990s, we have taken a positive attitude toward the treatment of patients with hilar cholangiocarcinoma. However, the operation found that bile duct carcinoma infiltration into the hepatoduodenal ligament, lymph node metastasis and portal vein cancer invasion