临床对原发性肝细胞癌(HCC)的手术治疗已取得了长足进步,其中极量肝切除是高难度手术的典型代表。极量肝切除术疗效显著,但必须严格掌握适应证。笔者分别从极量肝切除术治疗HCC的适应证、术前评估、提高手术疗效和减少手术并发症、争议与建议等方面就其治疗现状与进展作一总结。 Clinically, surgical treatment of primary hepatocellular carcinoma (HCC) has made great strides, with extreme liver resection is a typical representative of difficult surgery. Extremely effective liver resection, but must be strictly controlled indications. The author summarizes the current status and progress of the treatment of HCC from the perspectives of extreme liver resection, preoperative evaluation, improvement of operative efficacy and reduction of surgical complications, controversy and suggestions.