可切除性肝癌(resectable primary hepatocellular carcinoma,RPHC)指通过手术方式可完整切除的原发性肝细胞癌。由于我国原发性肝细胞癌常并发于病毒性肝病甚至肝硬化(86.5％),如不科学掌握切除适应症,术后常可因肝细胞(HC)病变进一步加重或剩余肝脏功能代偿不全,引起以肝功能衰竭为先导的多系统器官功能不全,导致死亡。因此,RPHC切除适应症的掌握是肝外科中的重要问题。本文简述与其有关的几个重要问题。 Resectable primary hepatocellular carcinoma (RPHC) refers to primary hepatocellular carcinoma that can be completely resected by surgery. Because our country’s primary hepatocellular carcinoma is often complicated by viral liver disease and even liver cirrhosis (86.5%), if we don’t master the resection indications, we can often aggravate liver cell (HC) lesions or incomplete liver function compensation after surgery. Caused by liver failure as a precursor to multi-system organ dysfunction, leading to death. Therefore, the mastery of RPHC excision indications is an important issue in liver surgery. This article briefly describes several important issues related to it.