外科手术是治疗原发性肝癌的主要手段。在我国原发性肝癌肝硬化的伴发率为８０—９０％。由于肝脏的重要生理功能及肝硬化所致一系列病理生理紊乱，严重地限制了原发性肝癌的外科治疗，增加了手术的危险，尤其是大块肝切除时。自１９８４年至今，我们共完成肝硬化基础上的原发性肝癌的巨块肝切除２６例，右半肝切除２３例、右三叶切除３例，肝切除量均＞６０％，取得了满意的效果。 Surgery is the main method for treating primary liver cancer. The complication rate of liver cirrhosis in our country is 80-90%. Due to the important physiological functions of the liver and a series of pathophysiological disorders caused by liver cirrhosis, the surgical treatment of primary liver cancer is severely limited, which increases the risk of surgery, especially when large hepatectomy is performed. Since 1984, we have completed 26 hepatectomy of hepatocellular carcinoma based on liver cirrhosis, 23 right hemihepatectomy and 3 right right lobectomy. The amount of hepatectomy was more than 60%. Effect.