对１３例有门静脉汇合部及主干癌栓和２例有肝后段下腔静脉癌栓的肝癌施行肝叶切除，并在入肝血流阻断或全肝血流阻断下清除了门静脉、下腔静脉癌栓。６例于门静脉和（或）肝动脉置管化疗。全组无手术死亡，手术后半年、１年、２年的生存率分别为８０％、４０％、１３％，延长了病人生存期。作者对癌栓摘除的病理基础、适应证、手术方法及意义进行了讨论。 Liver resection was performed on 13 patients with portal vein confluence, main cancer thrombus, and 2 cases of hepatic carcinoma with inferior hepatic vena cava tumor thrombus. The portal vein was removed under hepatic blood flow block or hepatic blood flow blockage. Inferior vena cava tumor thrombus. Six patients were treated with portal vein and/or hepatic artery catheterization. There were no operative deaths in the whole group, and the survival rates were 60%, 40%, and 13% after six months, one year, and two years, respectively, prolonging the patient’s survival time. The authors discussed the pathological basis, indications, surgical methods and significance of tumor embolectomy.