目的　探讨肝门部胆管癌不同外科治疗方法间的疗效差异。方法　回顾总结 1997～ 2 0 0 2年手术治疗的 63例肝门部胆管癌的临床资料。结果　 63例中手术切除 2 8例 ,切除率 44 4% ,其中根治性切除率为5 7 1%。切除组中 14例合并肝切除 ,其中 11例为根治切除。根治切除组与姑息切除组的平均生存期分别为 2 9个月和 12个月 ( P<0 0 5 )。切除组与引流组疗效差异有显著意义 ( P <0 0 5 )。结论　肝门部胆管癌应争取手术切除 ,合理的联合肝叶切除能提高根治性切除率 ,改善预后 Objective To investigate the curative effect of different surgical treatments in hilar cholangiocarcinoma. Methods The clinical data of 63 cases of hilar cholangiocarcinoma surgically treated from 1997 to 2002 were reviewed. Results In the 63 cases, 28 cases were surgically removed, the resection rate was 44.4%, and the radical resection rate was 57.1%. In the resection group, 14 patients underwent hepatectomy and 11 patients underwent radical resection. The average survival time of radical resection group and palliative resection group was 29 months and 12 months (P <0.05). There was significant difference between the resection group and drainage group (P <0.05). Conclusions Hilar cholangiocarcinoma should be scored for surgical resection. A reasonable combination of lobectomy can improve the radical resection rate and improve the prognosis