胆囊癌虽占消化道恶性肿瘤的第五位［１］，但在胆道恶性肿瘤中却居首位［２］。虽然我国的胆囊癌只占胆道手术的０－９６％～４－９％［２］，但其早期诊断困难，有人指出术前能诊断该病者仅有３４－７８％［３］。我院近２２年间经手术与病理确诊的胆囊癌３９例，占同期各种? Although gallbladder cancer accounts for the fifth place in the digestive tract malignancy [1], it is the first in the biliary malignancy [2]. Although gallbladder cancer accounts for only 0-96% to 4-9% of biliary tract surgery in China [2], its early diagnosis is difficult. It was pointed out that only 34-78% of patients with preoperative diagnosis of this disease can be diagnosed [3]. In the past 22 years, 39 cases of gallbladder cancer diagnosed by surgery and pathology have been diagnosed in our hospital.