原发性胆囊癌早期缺乏特异的临床表现,诊断不易、而且可以发生肝转移和淋巴结转移,手术时多为晚期,手术疗效多不佳.近几年来,随着对胆囊癌分期和转移方式研究的深入、人们对胆囊癌的手术治疗有了新的认识,并且发现扩大胆囊癌根治术可以明显提高T1～T2期患者的5年生存率. The lack of specific clinical manifestations in early stage of primary gallbladder carcinoma is difficult to diagnose, liver metastasis and lymph node metastasis can occur, and most of the surgery is advanced. The curative effect is not good. In recent years, the staging and metastasis of gallbladder cancer have been studied. In-depth, people have a new understanding of the surgical treatment of gallbladder cancer, and found that the expansion of gallbladder cancer radical surgery can significantly improve the 5-year survival rate of patients with T1 ~ T2.