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循肝静脉腹腔镜解剖性肝切除是在解剖性肝切除基础上，以肝静脉为切肝平面指引并在腹腔镜下实行的一种切肝技术。其优点是继承了解剖性肝切除彻底清除病灶、保留剩余肝组织的结构完整性的特点，又拥有着腹腔镜创伤小、恢复快的优势。在肝静脉引导切肝平面时，可以彻底清除缺乏流入和流出道的无效肝组织，减少术后肿瘤复发及术后并发症出现的可能，从而提高患者的生存率。是目前临床价值较大、开展较为广泛的术式。本文将对循肝静脉解剖性肝切除的发展历程以及在腹腔镜下行循肝静脉解剖性肝切除的要点进行综述。“,”Laparoscopic anatomical hepatectomy of hepatic vein approach is a laparoscopic hepatectomy technique based on anatomical hepatectomy and guided by hepatic vein. It not only can completely remove the focus and retain the structural integrity of the remaining liver tissue, but also has the advantages of less trauma and rapid recovery by laparoscopy. When the transection plane is guided by complete exposure of hepatic vein, the ineffective liver tissue without inflow and outflow tract can be completely removed, the possibility of postoperative tumor recurrence and postoperative complications can be reduced, so as to improve the survival rate of patients. At present, it is of great clinical value and widely carried out. This article will review the development of anatomical hepatectomy of hepatic vein approach and the main points of laparoscopic anatomical hepatectomy of hepatic vein approach.