不论近期诊断和手术技术水平的提高 ,胆囊癌的预后仍然很差。一旦癌肿侵犯胆囊的浆肌层 ,治愈性切除很难完成 ,肝十二指肠韧带 (HDL)受侵的处理决策仍不一致。为此作者重点分析HDL受侵中胆管侵犯、胆总管和胰腺周围淋巴结状况以确定其播散方式及其不同手术的疗效。从 1 985～ 2 Regardless of the recent diagnosis and surgical techniques to improve the prognosis of gallbladder cancer is still poor. Once the cancer of the gallbladder invasion of the muscle layer, curative resection is difficult to complete, the treatment of hepatoduodenal ligament (HDL) invasion decisions are still inconsistent. To this end the author focuses on analysis of HDL invasion of bile duct invasion, common bile duct and pancreas around the lymph node status to determine the mode of dissemination and the efficacy of different surgical. From 1 985 ~ 2