大块肝切除伴肝外胆管切除常用以治疗进展期胆囊癌和近端胆管癌。肝胆管常被肝门肿瘤分隔成几个单位,经皮肝内胆管引流（PTBD）缓解黄疸后常发生胆管炎,肝内节段性胆管炎常伴发肝功能不良和死亡。作者进一步分析术前胆管炎与肝切除术并发症的关系。从1979～1993年日本Nagoya大学医学院曾 Large hepatectomy with extrahepatic bile duct resection is commonly used to treat advanced gallbladder cancer and proximal bile duct cancer. Hepatobiliary ducts are often divided into several units by the portal hematomas. Percutaneous intrahepatic bile duct drainage (PTBD) relieves cholangitis after jaundice, and intrahepatic segmental cholangitis is often associated with liver dysfunction and death. The author further analyzed the relationship between preoperative cholangitis and complications of hepatectomy. From 1979 to 1993, Medical College of Nagoya University, Japan