晚期肝门胆管癌根治性切除率不高,大多数病例只能行姑息性手术。传统的姑息性肝中心旁路内引流术,因胆汁引流范围不广泛,肿瘤浸润吻合口导致再狭窄,其生存期不长[1]。1989年3月至1995年12月,作者设计了多肝段月牙形切除裙边式肝肠ＲｏｕｘＹ内引流术,应用于Ⅲ,Ⅳ型肝门胆管癌30 The radical resection rate of advanced hilar cholangiocarcinoma is not high, and most patients can only undergo palliative surgery. The traditional palliative liver bypass internal drainage is not widely used because of the wide range of bile drainage. The infiltration and anastomosis of the tumor leads to restenosis, and its survival time is not long [1]. From March 1989 to December 1995, the authors designed a hepatic bowel RouxY drainage procedure with a hepatic segment for the treatment of type III and type IV hilar cholangiocarcinoma.