肛门胆管爆常需大块肝切除以获得较好的预后，Blumgart等提出肝切除的范围应与术后并发症诸如肝功能衰竭、脓毒症和吻合疾等密切联系。在肝门胆管癌，一个较小范围的肝叶切除而又伴有较低的术后并发症率是可行的，作者介绍了3例肝门胆管癌采用肝段Ⅰ、Ⅳ切除的体会。尾叶即肝段 The anus bile duct burst often requires a large hepatectomy to obtain a better prognosis. Blumgart et al. proposed that the scope of hepatectomy should be closely related to postoperative complications such as liver failure, sepsis, and anastomotic disease. In hilar cholangiocarcinoma, a smaller range of hepatic lobe resection with a lower rate of postoperative complications is feasible. The authors described the experience of three cases of hepatic hilar cholangiocarcinoma with segment I and IV resection. Tail leaf segment