以往，对肝门部胆管癌伴梗阻性黄疽患者多施行肝大部切除，手术并发症和死亡率高。研究表明，肝切除程度与术后并发症密切相关，因此，应根据每位患者的肿瘤范围选择性地施行肝切除，在达到治愈性切除的情况下尽可能地限制切肝量。作者报告了施行．Couinaudl段和IV段肝切除治疗 In the past, hepatic excision was performed in patients with hilar cholangiocarcinoma and obstructive jaundice, resulting in high surgical complications and mortality. Studies have shown that the extent of liver resection is closely related to postoperative complications. Therefore, hepatectomy should be performed selectively according to the tumor size of each patient, and the hepatic volume should be limited as much as possible in the case of curative resection. The author reported the implementation. Couinaudl and IV hepatectomy