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对12例经手术证实的肝门部胆管癌已无法行根治性切除的病人，行经腹肝内胆管引流术。按Bismuth分型，Ⅰ型7例，Ⅱ型4例，Ⅲ型1例，2例有肝十二指肠韧带转移。经左脉管引流7例，经左内叶胆管引流3例，姑息性切除加左肝管引流2例。12例均带管出院。认为对晚期肝门部胆管癌的病人无法行根治性手术或不能耐受复杂手术的，经腹肝内胆管引流术仍是值得推荐的有效方法，可提高病人生存质量，延长寿命。
Twenty-two patients with surgically proven hilar cholangiocarcinoma who could not undergo radical resection were treated with intra-abdominal intrahepatic bile duct drainage. According to Bismuth classification, there were 7 cases of type I, 4 cases of type II, 1 case of type III, and 2 cases had hepatoduodenal ligament metastasis. There were 7 cases of left vascular drainage, 3 cases of left internal bile duct drainage, and 2 cases of palliative excision plus left hepatic duct drainage. All 12 cases were discharged with a tube. Considering that patients with advanced hilar cholangiocarcinoma cannot undergo radical surgery or can not tolerate complex surgery, transabdominal intrahepatic bile duct drainage is still an effective method that can be recommended to improve the quality of life of patients and prolong their life span.