Objective: To summarize the experience of diagnosis and surgical treatment for a rare invasion manner of gallbladder carcinoma

which was combined with tumor thrombus in common bile duct （CBD）. Methods: Between February 2003 and January 2005

3 patients with gallbladder carcinoma who were identified of tumor thrombus in common bile duct in surgical procedure were retrospectively analyzed. Results: Abdominal ultrasound and magnetic resonance cholangiopancreatography （MRCP） were used for preoperative diagnosis. All 3 patients were given radical operations

which were composed of cholecystectomy

resection of the extrahepatic biliary duct

cuniform hepatectomy of gallbladder bed

skeletonization of the hepatoduodenal ligament

hilar choledochojejunostomy

and clearance of tumor thrombus from biell renal carcinoma. The patient has been doing well without any evidence of recurrence or metastasis for 6 months.