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肝内胆管结石是我国的常见病和难治病，复杂性肝内胆管结石是胆管结石中最为复杂且病死率最高的疾病。肝切除是复杂性肝内胆管结石最好的治疗方法，主要包括开腹及腹腔镜下的规则性肝切除和精准肝切除以及术中联合胆管镜及超声。近年来，肝切除治疗复杂性肝内胆管结石疗效已有明显提高，但术后仍面临结石残留、复发以及再次手术等问题，有待进一步解决。“,”Intrahepatic bile duct stone is a common disease and an intractable disease in China , and complex intrahepatic bile duct stone is the most difficult problem in billiary surgery .Hepatectomy is the most effective procedure for the treatment of complex intrahepatic bile duct stone ,including open and laparoscopic liver resection and precision liver resection ,and intraoperative joint choledochoscope and intraoperative ultra-soonagraphy.In recent years,hepatectomy for complex intrahepatic bile duct has been obviously improved , but still faces the problem of residual stones,postoperative recurrence and reoperation need to be further solved.