原发性肝癌的黄疸发生于疾病晚期和因肿瘤浸润播散。肛门侵犯或进行性肝功能衰竭。这些病例的预后不良，常在短期内死亡。少数黄疸系瘤栓扩散入胆管所致，因其手术治疗效果较好，故鉴别诊断重要，本文报告5例此类病人经肝切除及胆管廓清的经验。病人与方法1988～1994行肝切除术 Jaundice in primary liver cancer occurs late in the disease and spread due to tumor invasion. Anal encroachment or progressive liver failure. These cases have a poor prognosis and often die in the short term. A small number of jaundice tumor thrombi spread into the bile duct due to its good surgical treatment, so the differential diagnosis is important. This article reports the experience of liver resection and bile duct dissection in 5 patients. Patients and Methods Hepatectomy from 1988 to 1994