切缘阴性的根治性切除可以延长肝门部胆管癌患者术后长期生存率。解剖性肝右三区合并尾状叶切除可获得更长的胆管切缘,从而提高R0切除率。本文将介绍右三区合并门静脉切除重建治疗肝门部胆管癌的手术方法、原则和要点。 Radical excision of the margins can prolong the long-term survival of patients with hilar cholangiocarcinoma. Anatomy of the right three areas combined with caudate lobe resection of the bile duct can get longer, thus increasing R0 resection rate. This article will introduce the right three districts combined with portal vein resection and reconstruction of hilar cholangiocarcinoma surgical approach, principles and points.