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回顾性总结３６例巨大肝癌手术切除的有关手术技术、疗效及围手术期处理等问题。本组病例肝癌病灶位于右半肝２０例，左半肝１４例，左右肝叶２例；肿瘤直径１０ｃｍ～１５ｃｍ２７例，直径＞１５ｃｍ９例，切除肝标本重７４０～３５００ｇ，平均１１６０ｇ。全组无手术死亡。术后半年、１年、３年生存率分别为９４．４％（３４／３６），６９．４％（２５／３６）、１８．５％（５／２７）。５年生存率为０。认为手术切除巨大肝癌可延长病人生存时间，但其远期疗效尚不满意。术后３年内为复发的高危期。手术切除要抓好术前准备，术中操作和术后处理三个环节。
We retrospectively summarized the surgical techniques, efficacy and perioperative management of 36 cases of massive liver cancer resection. The liver cancer lesions in this group of patients were located in the right hemi liver in 20 cases, left hemipatic in 14 cases, and left and right lobes in 2 cases; the tumor diameter was 10 cm to 15 cm in 27 cases, the diameter was >15 cm in 9 cases, and the resection of liver samples weighed 740 to 3500 g, with an average of 1160 g. There was no operative death in the entire group. The half-year, 1-year, and 3-year survival rates were 94.4% (34/36), 69.4% (25/36), and 18.5% (5/27), respectively. The 5-year survival rate is 0. It is believed that surgical resection of large hepatocellular carcinoma can prolong survival time, but its long-term efficacy is not yet satisfactory. High risk of recurrence occurred within 3 years after surgery. Surgical resection should be performed in three stages: preoperative preparation, intraoperative operation and postoperative treatment.