胆管中上段癌是指左右肝管及其汇合处之肝胆管、胆囊管胆总管肝总管汇合处之肝‘外胆管部位之癌瘤,由于其部位处于肝门部重要血循供应之处,常使根治性癌瘤切除成为不可能,与处于胆总管末端之胆管下段癌不同,那里有较多的机会行胰十二指肠切除的根治性手术,故临床上胆管中上段癌在治疗上有其独特之处。 Upper and middle bile duct cancer refers to the hepatic bile ducts in the left and right hepatic ducts and their confluence, and the hepatic and extrahepatic ducts in the confluent hepatobiliary ducts of the common gallbladder ducts. Because their parts are located in areas where the hepatic portal area supplies important blood, often Resection of radical cancer is not possible, unlike in the lower segment of the common bile duct at the end of the common bile duct where there are more opportunities for radical surgery for pancreaticoduodenectomy, so the upper and middle segment of the bile duct is clinically treated. Its uniqueness.