肝细胞癌(简称肝癌)伴肝静脉癌栓较门静脉癌栓少见,但是肝静脉癌栓从三个主要静脉或右下肝静脉进一步延伸可以引起下腔静脉或右心房癌栓,癌栓堵塞导致BuddChiari综合征,癌栓脱落导致心脏停搏、肺栓塞、肺内肿瘤播散,甚至猝死,后果更为严重。近年来,随着肝功能储备量化评估和出入肝血流控制技术的发展,越来越多的证据表明肝切除合并下腔静脉癌栓切除可能已经成为一种合理、安全、可行的治疗策略[1-4]。本研究回顾性分析2015年4月和 Hepatocellular carcinoma (HCC) with hepatic vein tumor thrombus is less common than portal vein tumor thrombus, but further extension of the hepatic vein tumor thrombus from the three major venous or right inferior hepatic veins can cause the inferior vena cava or right atrial cancer thrombus to clog the thrombus Budd-Chiari syndrome, thrombus shedding lead to cardiac arrest, pulmonary embolism, pulmonary tumor spread, and even sudden death, the consequences even more serious. In recent years, with the quantitative assessment of liver function reserve and the development of access control technology, there is more and more evidence that resection of the inferior vena cava tumor by hepatectomy may become a rational, safe and feasible treatment strategy [ 1-4]. This study retrospectively analyzed April 2015 and