本文报告原发性肝癌切除21例,提出基层医院对肝癌确诊仍靠AFP测定,定位主要靠B超检查。并强调其它腹部手术常规探查肝脏,可意外发现无症状小肝癌。本文还介绍改良规则半肝或肝叶切除方法有利于基层医院开展肝癌切除术。 This article reports 21 cases of primary hepatic carcinoma resection, and proposes that basic hospitals still rely on AFP for the diagnosis of liver cancer. The positioning mainly depends on B-ultrasound. And emphasize that other abdominal surgery routine exploration of the liver can be unexpectedly found asymptomatic small hepatocellular carcinoma. This article also describes the modified rules of the hepatic or hepatic lobectomy method in favor of primary hospitals for liver cancer resection.