肝门部胆管癌（Klatskin瘤）主要指左、右肝管至肝总管的恶性肿瘤，占胆管瘤的56％一58％，不包括肝内的胆管癌。我院近5年来收治胆管癌97例，肝门部癌占53．6％。90％以上的病人初期症状为梗阻性黄疽。胆管瘤的外科治疗与其解剖关系非常密切，常因技术原因而显得困难。目前最 The hilar cholangiocarcinoma (Klatskin’s tumor) mainly refers to the malignant tumors of the left and right hepatic ducts to the hepatic duct. It accounts for 56% to 58% of cholangiocarcinomas and does not include intrahepatic cholangiocarcinoma. In the past five years, 97 cases of cholangiocarcinoma have been treated in our hospital, and 53.6% of them have been diagnosed as hilar cancer. More than 90% of patients had obstructive jaundice at the initial stage. The surgical treatment of cholangiocarcinoma is closely related to its anatomy, and it is often difficult for technical reasons. The current most