长期以来近端胆管瘤一直采用姑息性胆道引流治疗，因而疗效很差。作者经过25年（1968～1993）共94例的努力实践，积极使用作者于1974年倡用的根治性手术进行治疗，已积累了40例的成功经验，作为本文分析对象。其中男23例，女17例；平均年龄60．4±12岁。按Bismuth肿瘤解剖定位 For a long time, proximal cholangiocarcinoma has been treated with palliative biliary drainage, so its efficacy is poor. After 25 years (1968 ~ 1993) a total of 94 cases of hard work, and actively use the author in 1974 advocated by the radical surgery for treatment, has accumulated 40 cases of successful experience, as the analysis of this article. There were 23 males and 17 females with an average age of 60.4 ± 12 years. Bismuth tumor anatomical location