Abstract： Objective To investigate the effects of different operative models of hilar cholangiocarcinoma (HCCA) and its clinical significance. Methods The clinical data on 24 patients with HCCA were analyzed retro-spectively. Results 11 cases experienced surgical resection with 9 to 32 months of survival time. 13 cases were per-formed biloenteral draining with 1.5 to 17 months of survival time. There was no operative mortality. Conclusions The operative effects of HCCA is closely related to the operative models. A complete preoperative evaluation, appropri-ate operative model and high excision rate are very important for improving therapeutic effects.