How long can bile duct cancer live without spreading cannot be generalized, the specific survival time is related to the type of pathology, treatment plan, physical condition and other factors. The 5-year survival rate after surgery for early stage bile duct cancer can reach 70%, while the 5-year survival rate after surgery for middle stage bile duct cancer is about 50%. If the cholangiocarcinoma is in early stage, it can be completely removed by surgery, and the 5-year survival rate after surgery can reach 70%; if the cholangiocarcinoma is considered to be in intermediate stage, even though it doesn’t show proliferation on the imaging, it may have already developed vascular and lymph node metastasis, etc., and the 5-year survival rate after surgery is about 50%. If the tumor is too large to be surgically removed, it cannot be eradicated. Local radiation therapy can be considered, together with systemic chemotherapy, which can generally prolong the patient’s life. However, the prognosis of patients is very poor and the survival period of patients is much shorter. After diagnosed with cholangiocarcinoma, it is necessary to follow the doctor’s instruction to treat it actively and review it on time, which can prolong the survival time. Generally speaking, the earlier it is detected and treated, the less impact it has on the life expectancy. It is recommended that patients actively go to the hospital for standardized treatment.