Abstract:Objective:To evaluate the method of surgical therapy of hilar cholangiocarcinoma. Methods:The clinical data of 102 surgically treated patients with hilar cholangiocarcinoma admitted into our hospital from August 1990 to August 2003 were retrospectively analyzed. Results:In this cohort of 102 cases of hilar cholangicarcinoma,58 cases(56.9%) underwent sugical resection. In 27(26.5%) of these 58 cases, a radical resection was performed,and 31 cases(30.4%) had a palliative resection.Bile duct drainage was done in 44 cases(43.1%),that included 20 cases with internal drainage by cholangioenterostomy and 24 cases with external biliary drainage.The 1-,2-,3- and 5-year survival in the radical resection group was 88.89%,51.85%,37.03% and 22.22%,respectively,and in the palliative resection group was 51.61%,6.45%,3.22% and 0%,respective.In the cholangioenterostomy internal drainage group and the external biliary drainage group,the 1-year survival rate was 29.4% and 23.80%,respectively,and there were no 2-year survivors.Conclusions:Better treatment results for hilar cholangiocarcinoma can only be obtained by surgical resection, especially by radical resection.