The obstructione malignant disease of hepatic ducts bifurcation with persistent jaundice have an unfavourable prognosis. 10 malignant obstruction of proximal bile duct were treated between 1. 5. 1986 and 1. 12. 1987. Surgimed radiopaque endoprosthesis was inserted by surgical way. The quality of life of the treated patients improved. The average survival was 9.7 months.