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1991年1月至1995年12月，本院收治高位胆管癌52例，手术切除17例，切除率32．7％。切除组中2例Ⅰ型和1例Ⅱ型肿瘤行单纯局部切除，14例行联合肝叶切除；其中1例Ⅱ型行尾叶切除，1例Ⅱ型和3例ⅢA型行肝中叶切除，8例ⅢB型行左半肝切除，1例ⅢA型行右半肝切除。镜下治愈性切除率为15．4％（8／52）。治愈性切除组平均生存期为21．1月，姑息性切除组则为7·5个月（P＜0·05）。切除组手术死亡率为5·9％（l／7）。我们认为根据肿瘤的临床分型，合理选用不同手术切除方式是改善高位胆管疗效的关键因素。
From January 1991 to December 1995, 52 cases of high-grade cholangiocarcinoma were treated in this hospital. 17 cases were surgically removed, and the resection rate was 32.7%. In the resection group, 2 cases of type I and 1 case of type II tumors were treated with simple local excision and 14 cases were performed with combined hepatectomy. Among them, 1 case of type II lobectomy, 1 case of type II and 3 cases of type IIIA excision of the middle hepatectomy. Eight patients with type IIIB left hepatectomy and one patient with type IIIA right hemihepatectomy. The curative resection rate was 15.4% (8/52). The mean survival time was 21.1 months in the curative resection group and 7.5 months in the palliative resection group (P<0.05). The operative mortality rate in the resection group was 5.9% (l/7). We believe that according to the clinical classification of tumors, rational selection of different surgical resections is a key factor in improving the efficacy of high-grade bile ducts.