目的　探讨不阻断肝血流状态下的肝癌肝切除术的可行性。方法　回顾性分析 1988年～ 1998年采用不阻断肝脏血运状态下的肝癌肝切除术 194例患者 ,就患者的肝病背景 ,癌灶资料 ,手术情况和治疗效果等方面进行分析。结果　 (1)本组行不规则肝切除 98例 (5 0 5 % ) ,肝叶切除 41例 (2 1 1% ,其中方叶切除 6例 ) ,联合脏器切除 30例 (16 5 % ) ,肝段切除 2 2例 (11 3% ,其中Ⅳ段切除11例 ) ;左半肝切除 3例 (1 5 % )。 (2 )行肝癌切除手术时间 2 4h ,术中平均输血 6 49ml,6 1例未输血(31 4% )。 (3)本组手术并发症 18% (34/ 194) ,无手术死亡和住院死亡。结论　 (1)完整血运状态下可行包括半肝 ,方叶 ,Ⅷ段等大块及复杂疑难部位的肝切除。 (2 )手术时间短 ,失血少。 (3)对肝脏的损害轻 ,手术并发症少 ,该方法是一简便 ,有效的肝外科技术。 Objective To explore the feasibility of liver resection without hepatic blood flow. METHODS: Retrospective analysis of 194 patients with hepatocellular carcinoma undergoing hepatocellular carcinoma without blocking liver blood supply from 1988 to 1998 was performed. The background of the liver disease, data on the lesions, surgical conditions, and treatment effects were analyzed. RESULTS: (1) 98 cases (50% 5%) of hepatic resection were performed in this group, 41 cases were hepatectomy (2 1 1%, including 6 cases of lobectomy), and 30 cases (16 5%) were removed by combined organ resection. Hepatectomy was performed in 22 cases (11 3%, including 11 cases of segment IV resection) and left hemihepatectomy in 3 cases (15%). (2) The operation time of liver cancer resection was 24 hours, the average blood transfusion was 6 49 ml, and 61 patients had no blood transfusion (31 4%). (3) The operative complications in this group were 18% (34/194). There were no operative deaths and hospital deaths. Conclusions (1) Complete hepatic resection can be performed in hepatectomy with hepatic, lobular, segment VIII and other complicated and difficult sites. (2) Short operation time and less blood loss. (3) Less damage to the liver and less operative complications. This method is a simple and effective hepatic surgical technique.