主肝管汇合处癌肿的预后仍不佳。Boerma查阅到1989年1月世界性文献资料报道此类病人术后存活5年者仅37例。由于本病急速沿肝管广泛扩散入肝，所以胆管广泛切除结合肝切除是首选方案，本文报告了本组的手术效果。 The prognosis of cancer at the confluence of the main hepatic duct remains poor. Boerma consulted the world literature in January 1989 and reported only 37 cases of such patients survived after 5 years of surgery. Because the disease rapidly spreads widely into the liver along the hepatic ducts, extensive resection of the bile duct combined with hepatectomy is the preferred protocol. This article reports the surgical outcome of this group.