2007年11月21日我们对1例Bismuth Ⅳ型且合并肝门部及胰头后淋巴结转移的肝门部胆管癌患者施行了肝、胰头十二指肠联合切除同时行原位肝移植手术,受者至今已存活1年。1临床资料1.1一般资料患者男性,34岁。因反复右上腹痛2个月,皮肤、巩膜黄染2周,于2007年10月14日入住我院,入院 November 21, 2007 We performed a combined liver and pancreaticoduodenectomy on one patient with Bismuth type IV and hilar cholangiocarcinoma with hilar and posterior pancreatic lymph node metastasis while undergoing orthotopic liver transplantation , The recipient has been alive for 1 year. 1 Clinical data 1.1 General information Patient male, 34 years old. Due to repeated right upper quadrant pain 2 months, skin, scleral yellow dye 2 weeks, on October 14, 2007 admitted to our hospital, admission