目的 探讨肝门部胆管癌行完全腹腔镜下根治性手术的可行性、安全性及近期效果.方法 回顾性分析徐州医科大学附属医院肿瘤外科2016年4月至2017年1月期间完成的6例完全腹腔镜下肝门部胆管癌根治术患者的临床资料,分析其手术情况及围手术期并发症情况.结果 6例肝门部胆管癌患者均在腹腔镜下顺利完成手术,其中Bismuth分型为Ⅰ型2例,Ⅱ型4例.无中转开腹患者.手术时间为(231.3±94.5) min,术中出血量为(123.3±46.8) mL,术后首次排气时间为(2.7±0.3)d,术后住院时间为(11.9±1.7)d.术后病理回报胆管切缘均阴性,淋巴结清扫数目为(9.4±2.7)枚.术后有1例发生短暂性胆汁漏,经保守治疗1周后自愈;有1例并发胸腔积液,经B超引导下穿刺引流后治愈.无围手术期死亡病例,所有患者随访至今末见复发.结论 本研究有限病例的初步研究结果提示,由有丰富腔镜手术经验的外科医生操作、病例选择合适,对肝门部胆管癌行完全腹腔镜下根治性手术是安全、可行的,近期效果良好,值得进一步探索.“,”Objective To explore safety and efficacy of total laparoscopic radical resection of hilar cholangiocarcinoma.Methods From April 2016 and January 2017,6 patients with hilar cholangiocarcinoma underwent laparoscopic radical resection in the Affiliated Hospital of Xuzhou Medical University were collected.The intra-and postoperative situation and the postoperative complications were analyzed.Results The radical resections of hilar cholangiocarcinoma were completed laparoscopically in all the patients.There was no conversion to the laparotomy.The procedure was finished within a time of (231.3±94.5) min and with an intraoperative blood loss of (123.3±46.8) mL.The first postoperative exhausting time and the postoperative hospital stay was (2.7±0.3) d and (11.9± 1.7) d,respectively.All the patients had the R0 resection and the numbers of dissected lymph nodes were 9.4±2.7.The postoperative complications occurred in 2 patients,they were all cured spontaneously in one week,and there was no perioperative death.None of patients had a local recurrence and metastasis during an average 8 months of following-up.Conclusions Preliminary results of limited cases in this study show that with suitable case and skillful laparoscopic technique,laparoscopic radical resection of hilar cholangiocarcinoma is feasible and safe.Further studies are still needed to confirm benefits of this approach.