对肝胆外科医生而言,肝门部胆管癌仍然是目前最困难的挑战:肝十二指肠韧带处解剖复杂,胆管分叉与入肝血管过于接近,往往难以获得阴性的外科切缘。我们在临床中对肝门部胆管癌进行切除时发现,有近80%的患者存在血管侵犯,以门静脉侵犯多见,且有些同时伴有肝动脉侵犯。 For hepatobiliary surgeons, hilar cholangiocarcinoma remains the most difficult challenge: the dissection of the hepatoduodenal ligament is complex, and the bifurcation of the bifurcation is too close to that of the hepatic vessels, often making it difficult to obtain negative surgical margins. We in the clinical resection of the hilar cholangiocarcinoma found that nearly 80% of patients with vascular invasion, portal vein invasion more common, and some accompanied by hepatic artery invasion.