报道肝尾状叶手术切除9例，其中胆道疾病3例，讨论了肝尾状叶胆道疾病的误诊因素。术中B超、术中胆道造影、以及术中仔细探查可提高尾状叶胆道疾病的诊断。肝尾状叶病变仍以手术切除为主，作者同时对肝尾状叶切除的手术经验加以探讨，良好的显露，精细的解剖以及预防性全肝血流阻断均是手术成功的关键。 Reported nine cases of hepatic caudate lobe resection, including three cases of biliary tract disease, to discuss the misdiagnosis factors of hepatic caudate lobe biliary disease. Intraoperative B-ultrasonography, intraoperative cholangiography, and careful intraoperative exploration can improve the diagnosis of caudate biliary tract disease. The hepatic caudate lobe lesions are still mainly surgically removed. The authors also discussed the surgical experience of hepatic caudate lobe resection. Good exposure, fine anatomy and preventive total hepatic blood flow blockade are the keys to successful operation.