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作者为１５例Ⅲ、Ⅳ型肝门胆管癌作了多肝段月牙形切除、裙边式肝肠Ｒｏｕｘ－ｙ手术。采取多肝段引流和周边胆管牵开技术，胆汁引流范围广、吻合口不易受肿瘤侵犯、引流胆管不易狭窄，而引流效果好。本组结果表明：术后胆汁引流量日平均７００ｍｌ，平均生存１８个月，病人舒适指数７７．８％，无手术死亡病例．本文提示，该术式是治疗Ⅲ、Ⅳ型肝门胆管癌的有效且可行的姑息性手术．
The authors performed multi-phase hepatic resection and Roux-y hepaticojejunostomy for 15 cases of type III and type IV hilar cholangiocarcinoma. The use of multi-segment drainage and peripheral bile duct retraction techniques, a wide range of bile drainage, anastomotic stoma is not susceptible to tumor invasion, bile duct drainage is not easy to narrow, and drainage effect is good. The results of this group showed that the average daily bile flow was 700ml, and the average survival time was 18 months. The patient comfort index was 77.8%. There was no operation death. This article suggests that this surgical procedure is an effective and feasible palliative operation for treatment of type III and type IV hilar cholangiocarcinoma.