肝门胆管系指左、右肝胆管,汇合部和肝总管.此段胆管前方有助弓和肝的IV B段掩盖,两侧分别与左、右肝动脉相邻,后壁紧贴门静脉及其左右分支,肝门胆管癌常累及上述血管和邻接肝组织,以致在该处施行手术解除梗阻的难度很大.我们自1983年至1993年采用左肝开窗肝内胆管空肠吻合术治疗肝门胆管梗阻24例,效果较为满意,现报告如下. The hilar bile duct refers to the left and right hepatobiliary ducts, the confluence department and the hepatic duct. This section of the bile duct is covered with IV B segment of the liver and the front of the bile duct. The two sides are respectively adjacent to the left and right hepatic arteries. The posterior wall is close to the portal vein and Left and right branches, hilar cholangiocarcinoma often involve the above-mentioned blood vessels and adjacent liver tissue, so that it is very difficult to perform surgical resection at this site. We have used the left liver window to treat liver with intrahepatic biliary jejunostomy from 1983 to 1993. The bile duct obstruction in 24 cases, the effect is more satisfactory, the report is as follows.