原发性肝癌及门静脉高压症多发生于肝炎后肝硬化,因此肝癌合并门静脉高压症在临床上较为常见,其治疗比较复杂。作者根据其发病机制及病理特征,采用肝癌切除的同时行脾切除术及食道胃底静脉断流术。这样既治疗肝癌,同时又解决了门静脉高压造成上消化道出血的危害。作者自1994～1 Primary liver cancer and portal hypertension often occur in posthepatitic cirrhosis, so liver cancer combined with portal hypertension is more common in clinical practice and its treatment is more complicated. According to its pathogenesis and pathological features, the authors used simultaneous hepatectomy for splenectomy and esophageal and gastric vein devascularization. This will not only treat liver cancer, but also solve the portal venous hypertension caused by upper gastrointestinal bleeding. Authors from 1994 to 1