肝管分叉部癌(Klatskin Tumor)很少见,占肝外胆管癌20%以下。临床表现为梗阻性黄疸,各项检查显示肝总管分叉处明显梗阻或狭窄。肿瘤为局灶性、硬化型、细胞少且位于管壁内。术前很少发现有转移灶。穿刺活检或内镜刷片阳性率极低。癌细胞容易沿血管鞘或神经鞘转移,根治性切除较困难,传统治疗 Klatskin Tumor is rare and accounts for less than 20% of extrahepatic bile duct cancer. The clinical manifestations of obstructive jaundice, the examination showed that the liver bifurcation obstruction or stenosis. The tumor is focal, sclerotic, with few cells and is located in the wall of the vessel. Little metastases are found before surgery. The positive rate of needle biopsy or endoscopic brush is extremely low. Cancer cells easily migrate along the vascular sheath or nerve sheath. Radical excision is more difficult and traditional treatment