Mr. Yang, 35, suffered from intrahepatic bile duct cancer, the tumor invaded hepatic artery, portal vein, gastric sinus and pancreas, and his condition was critical. After careful treatment by the Department of Hepatobiliary Surgery of the First Affiliated Hospital of PLA General Hospital, Mr. Yang was discharged from the hospital recently. The patient, a native of Hebei, had intermittent pain in the right upper abdomen without any obvious cause in early May this year, followed by yellow staining of the skin and mucous membranes all over the body, and his symptoms were not significantly relieved by drug treatment. Jiao Huabo, deputy director of hepatobiliary surgery of the hospital, found that the patient had a 3.8 cm×3.1 cm sized mass in the left lobe of the liver near the hilar region, invading the bile ducts in the hilar region, with narrowing and occlusion of the lumen and expansion of the intrahepatic bile ducts. Jiao Huabo introduced that when the tumor reaches grade V, resection surgery is usually no longer done. However, the patient was still young and his family strongly requested for surgery. After several consultations, the hospital decided that Jiao Huabo should be the main surgeon to perform an extended radical surgery for hepatoportal bile duct cancer. Due to the multiple lesions and extensive invasion, the surgery was very difficult. Jiao Huabo detached the tumor from the surrounding organs and blood vessels, then removed the left half of the liver and caudate lobe, and removed the invaded tissues of hepatic artery, portal vein, stomach and pancreas, and performed hepatic artery and portal vein revascularization. After nearly 5 hours of careful surgery, it was successful. The patient recovered well after the operation without complications