胆囊癌疗效的提高主要取决于根治性手术切除方法的应用。目前胆囊癌根治手术的肝切除和淋巴结清扫范围已经有一些比较公认的推荐术式和指南,但肝十二指肠韧带侵犯的处理可能涉及到血管切除重建、胆总管切除以及联合器官切除等较为复杂的问题,仍然没有达成广泛共识,这也是外科医生在处理此类胆囊癌病人时的技术难点和要点。本文就胆囊癌伴肝十二指肠韧带侵犯的术前诊断以及手术技术要点结合自身经验进行阐述。1术前诊断 The improvement of the curative effect of gallbladder cancer mainly depends on the application of the radical surgical resection method. At present, there are some commonly accepted recommended surgical procedures and guidelines for the resection of liver resection and lymph node dissection in radical surgery for gallbladder cancer. However, the treatment of hepatoduodenal ligament invasion may involve revascularization, common bile duct resection and combined organ resection Complex issues, there is still no broad consensus reached, which is also the surgeon in dealing with such gallbladder cancer patients technical difficulties and points. This article on gallbladder cancer with hepatoduodenal ligament invasion of preoperative diagnosis and surgical techniques combined with their own experience to elaborate. 1 preoperative diagnosis