To analyze the application effect of hepatectomy combined with hepatic artery reconstruction in treatment of 10 cases of hilar cholangiocarcinoma (HCCA).

The clinical data of 10 patients with Hilar Cholangiocarcinoma who underwent hepatectomy combined with hepatic artery reconstruction from January 2016 to February 2017 were analyzed retrospectively.

Among the 10 patients, 4 cases underwent left hemihepatectomy combined with caudate lobectomy (type ⅢB), 3 casesunderwent right hemihepatectomy combined with caudate lobectomy (type Ⅲa), and 2 casesunderwent caudate lobectomy (type Ⅱ), 1 case underwent right anterior lobe and caudate lobe resection (type Ⅳ); There were 6 cases of right hepatic artery resection and reconstruction, 4 case of proper hepatic artery resection and reconstruction; The R0 resection rate was 80.0%, no death cases during the perioperative period was found, 1 case of postoperative biliary fistula, 1 cases of gastrointestinal bleeding, 1 cases of hepatic artery thrombosis secondary to biliary tract infection were found, all of which improved after conservative treatment; All patients were given postoperative follow-up for 9~24 months, 3 patients died of tumor recurrence, hepatic artery thrombosis and hepatic abscess, and the 24-month survival rate was 70.0% (7/10).

Hepatectomy combined with hepatic artery reconstruction in treatment of HCCA can increase R0 resection rate, improve liver function, which have less perioperative complications and high postoperative survival rate.