摘要目的 探讨高位胆管癌的手术治疗方式及临床意义.方法 回顾分析24例手术治疗的高位胆管癌的临床资料.结果 手术切除者生存期为9～32个月,胆肠内引流生存期1.5～17个月,无手术死亡.结论 高位胆管癌的手术疗效与术式密切相关,做好术前评估、选择合适手术方式,提高切除率,对提高疗效有重要意义.

abstractsObjective To investigate the effects of different operative models of hilar cholangiocarcinoma (HCCA) and its clinical significance. Methods The clinical data on 24 patients with HCCA were analyzed retro-spectively. Results 11 cases experienced surgical resection with 9 to 32 months of survival time. 13 cases were per-formed biloenteral draining with 1.5 to 17 months of survival time. There was no operative mortality. Conclusions The operative effects of HCCA is closely related to the operative models. A complete preoperative evaluation, appropri-ate operative model and high excision rate are very important for improving therapeutic effects.