目的　探讨肝腔静脉结合部肝肿瘤手术切除的方法和疗效。　方法　在间歇性肝门阻断下行肝切除术 ,部分病例预置肝下下腔静脉 (IVC)阻断带 ;切肝先易后难 ,最后处理肝静脉根部 ;全组 6 8例患者术后随访观察患者生存期。　结果　 6 8例肝腔静脉结合部肝肿瘤均在间歇性肝门阻断下得到成功切除 ,全组无手术死亡 ,术中出血皆得到妥善处理 ;切除的 6 8例肝肿瘤中 6 5例为原发性肝癌 ,术后 1、2、3和 4年生存率分别为 6 4 11%、5 2 82 %、44 90 %和 36 98% ,其中肿瘤有包膜者术后生存率显著高于无包膜者。　结论　肝腔静脉结合部肝肿瘤可在简单的间歇性肝门阻断下获得安全切除 ,不必常规作复杂的全肝血流阻断 ;对该部位边界清楚的原发性肝癌应积极争取手术切除 Objective To explore the method and efficacy of surgical resection of hepatic tumors in the hepatobiliary region. Methods Hepatectomy with intermittent hepatic hilum obstruction was performed. In some cases, the IVC blocking zone was preset; after cutting the liver easily, it was difficult to treat the hepatic vein. Finally, the root of the hepatic vein was treated. The whole group of 68 patients was postoperative Follow-up observation of patient survival. Results Sixty-eight cases of hepatocaval junction liver tumors were successfully resected under intermittent hepatic hilum obstruction. No operative death occurred in the whole group, and intraoperative blood loss was properly managed. Of the 68 liver tumors removed, 65 were In primary liver cancer, the 1-, 2-, 3-, and 4-year survival rates after surgery were 644%, 542.4%, 44.9%, and 36.98%, respectively, and the survival rate was significantly higher in tumor-coated patients. No envelope. Conclusion Hepatic tumors combined with hepatic vena cava can be safely excised under simple intermittent hepatic hilum obstruction, without complicated routine hepatic arterial occlusion. Hepatobiliary tumors with clear boundary should be actively treated for surgical resection.