本文介绍自１９８６年１０月至１９９２年１０月对８２例肝门区中晚期肝癌，施行肝叶或肝段切除术的体会。肿瘤分布在Ⅳ、Ⅴ、Ⅷ、Ⅰ段，本组有８７％患者合并有肝硬变。手术特点是经腹部切口完成，不须要开胸，用框架式拉钩；常温下肝门阻断和游离大网膜覆盖创面法。术后并发症少，手术死亡率低。术后总生存率１、３、５年分别为５４．４％、３８．０％和２２．８％。 This article describes the experience of performing hepatic lobe or hepatectomy in 82 cases of middle and late hepatocellular carcinoma of the hilar region from October 1986 to October 1992. Tumors were distributed in segments IV, V, VIII, and I. 87% of the patients in this group had cirrhosis. Surgical features are accomplished through abdominal incisions, without the need to open the chest, with a frame-type pull hook; hepatic hilar and free omentum covering the wound surface at room temperature. Postoperative complications are few and the operative mortality is low. The postoperative overall survival rate was 54.4%, 38.0%, and 22.8% for 1, 3, and 5 years, respectively.