手术切除巨大原发性肝癌１５例，其中左半肝切除３例；左外叶切除２例；右半肝切除３例；Ⅴ、Ⅵ肝段联合切除３例；Ⅴ、Ⅷ肝段联合切除１例；Ⅵ、Ⅶ、Ⅷ肝段联合切除２例；左三叶切除１例。术中８例同时切除胆囊及部分结肠、腹膜、在网膜、胃壁。本组无手术死亡。认为巨大原发性肝癌手术切除必须重视术前准备、术中操作及术后综合治疗三个环节。 Surgical removal of large primary hepatocellular carcinoma in 15 cases, including left hemihepatectomy in 3 cases; left lateral lobe resection in 2 cases; right hemihepatectomy in 3 cases; V and VI liver resection in 3 cases; V, VIII segment resection 1 Cases; VI, VII, VIII liver segment resection in 2 cases; left tricusectomy in 1 case. Eight cases of gallbladder and part of the colon, peritoneum, omentum, stomach wall were removed at the same time. There were no operative deaths in this group. It is considered that surgical resection of huge primary liver cancer must pay attention to three steps: preoperative preparation, intraoperative operation and postoperative comprehensive treatment.