原发性胆囊癌是肝外胆道常见的恶性肿瘤,早期缺乏特异性的临床表现,恶性程度较高,易发生肝脏直接浸润和肝门及淋巴结转移,多数病人就诊时已为中晚期,手术切除率较低,预后较差。因此,很多医生对中晚期胆囊癌持消极悲观态度,特别是在术前或手术探查时发现右半肝、胰头、横结肠和 Primary gallbladder cancer is a common malignant tumor of extrahepatic bile duct, early lack of specific clinical manifestations, the higher the degree of malignancy, prone to direct liver infiltration and hilar and lymph node metastasis, the majority of patients were treated at the advanced stage, surgical resection Lower rates, poor prognosis. Therefore, many doctors hold a negative pessimistic attitude towards advanced gallbladder cancer, especially in the preoperative or surgical exploration found that the right hepatic, pancreatic head, transverse colon and