总体而言 ,肝胆管肿瘤合并胆道外科急症的情况在临床上并不常见 ,主要是肿瘤合并结石或肿瘤本身阻塞胆道引起的化脓性感染。65 %～ 80 %的肝内胆管癌合并肝内胆管结石。台湾长庚纪念医院报道[1 ] 10 2例合并结石的肝内胆管癌 ,以急性肝胆管炎症状就诊的病例占 2 /3。Caroli病有 Overall, the situation of hepatobiliary tumors with biliary surgical emergency is not clinically common, mainly tumor associated with stones or the tumor itself blocking the biliary tract caused by purulent infection. 65% to 80% of intrahepatic cholangiocarcinoma with intrahepatic bile duct stones. Chang Gung Memorial Hospital in Taiwan reported [1] 10 2 cases of intrahepatic cholangiocarcinoma with stones, the symptoms of acute hepatobiliary inflammation in the treatment of patients accounted for 2/3. Caroli is sick