关于肝门胆管癌的治疗,近几年来国内外已有大量资料证明,根治性切除术的疗效相对最好,其次顺序为姑息性切除、内引流术、外引流术、非手术引流(PTCD、PTCID、ETBD等)和药物治疗。因此,除非手术禁忌,一般均应创造条件,积极探腹争取切除。在当今基础学科发展和手术技术提高的条件下,只要病例选择得当,切除肝门部胆管癌已不是高不可攀的高危手术。早在80年代初期,Cameron JL等切除10例、Iwasaki Y等切 With regard to the treatment of hilar cholangiocarcinoma, a large number of data at home and abroad have proved in recent years that the curative effect of radical resection is relatively best, followed by palliative resection, internal drainage, external drainage, and non-surgical drainage (PTCD, PTCID, ETBD, etc.) and medications. Therefore, unless the surgery is contraindicated, conditions should generally be created to actively explore the abdomen for resection. With the development of basic disciplines and the improvement of surgical techniques, the removal of hilar cholangiocarcinoma is not an unattainable high-risk operation as long as the cases are properly selected. As early as the early 1980s, Cameron JL et al removed 10 cases and Iwasaki Y et al.