彭淑院教授对于肝门部胆管瘤，手术显露是手术切除的关键。我们的步骤是先切开胆总管前面的后腹膜，向上延长，直达肝门，然后向两侧扩展，此时可向头端推开部分肝脏以便显露左右肝管汇合部。从网膜孔伸人一指，另一指置于肝门之前，可相对触摸，确定肿块的大小和肿块的L缘，从 Professor Peng Shuyuan is the key to surgical resection for hilar cholangiocarcinoma. Our procedure is to first incise the posterior peritoneum in front of the common bile duct, extend it upward, reach the porta hepatis, and then extend it to both sides. At this time, part of the liver can be pushed toward the head to expose the left and right hepatic duct confluence. From the omental hole to one finger, the other finger is placed in front of the liver, can be relatively touching, determine the size of the tumor and the L edge of the tumor, from