报告了手术切除治疗原发性肝癌159例,切除率50.5%,手术死亡率3.1%,五年生存率26.7%,其中40例小肝癌五年生存率达到49.3%。开展肝癌普查、改进手术操作、减少胆瘘发生、对中度以上肝硬化者减少切除范围以及术后合并化疗,是取得较好疗效的重要原因。 Surgical resection of 159 cases of primary liver cancer was reported. The resection rate was 50.5%, the operative mortality rate was 3.1%, and the five-year survival rate was 26.7%. Among them, 40 cases of small hepatocellular carcinoma had a 5-year survival rate of 49.3%. The importance of obtaining better results is to carry out general surveys of liver cancer, improve surgical procedures, reduce the incidence of cholessis, reduce the extent of resection of moderately above liver cirrhosis, and postoperative chemotherapy.