肛门部胆管癌的切除率在不断提高，效果令人振奋[1]。但仍有多数病人，由于肿瘤侵犯左右肝管、尾叶和门静脉，以致肿瘤无法切除[2,3]。这些病人若不治疗，大多数在3个月内因肝肾功能衰竭和胆管炎而死亡。外科姑息性引流术可以延长病人的生存期。这些手术包括肝内胆管空肠吻合术 The resection rate of anal bile duct cancer is continuously improving and the effect is exciting [1]. However, there are still a large number of patients, because the tumor invades left and right hepatic ducts, tail and portal veins, resulting in unresectable tumors [2,3]. Most of these patients died of liver and kidney failure and cholangitis within 3 months if they were not treated. Surgical palliative drainage can prolong patient survival. These operations include intrahepatic bile duct jejunostomy