早期恶性梗阻性黄疸治疗以外科手术治疗为主,而对于晚期胰腺癌、胆管癌,尤其是高位胆管癌已失去根治性手术机会,其手术治疗仅为局限性姑息治疗,常采用胆囊空肠吻合术、胆总管十二指肠吻合术及T形管外引流术等,虽可有效地解除梗阻,降低血清胆红素,改善临床症状,但也存在一些问题,如早期并发症多,手术风险大;由于肝门部结构复杂,肿瘤邻近重要血管,有些肝门部肿瘤使肝门紧密粘连,很难解剖出肝管供吻合之用;肠道食物可逆流入胆总管和肝内胆管,引起胆道感染等。因此,姑息手术方法疗效不好,创伤大,生存质量低下,恶性梗阻性黄疸的治疗始终是外科难题之一。 Early surgical treatment of malignant obstructive jaundice dominated, and for advanced pancreatic cancer, cholangiocarcinoma, especially high cholangiocarcinoma has lost the chance of radical surgery, its surgical treatment is only limited palliative treatment, often using gallbladder jejunostomy , Common bile duct duodenal anastomosis and T-tube drainage, etc., although it can effectively relieve obstruction, lower serum bilirubin and improve clinical symptoms, but there are also some problems, such as early complications and more surgical risk ; Due to the complex structure of the hilar, the tumor adjacent to important blood vessels, some hilar tumors close the hepatic portal adhesions, it is difficult to dissect the hepatic duct for anastomosis; intestinal food reflux into the common bile duct and intrahepatic bile duct, causing biliary tract infections Wait. Therefore, palliative surgery is ineffective, trauma, poor quality of life, the treatment of malignant obstructive jaundice is always one of the surgical problems.