目的 :探讨经腹腔镜多极针射频治疗晚期肝癌的临床应用价值。方法 :经腹腔镜多极针射频治疗晚期肝癌 2 1例 ,分析临床资料。结果 :该组所有手术过程顺利 ,无术后出血、气胸、脏器穿孔并发症。追踪 15个月 ,4例死亡 ,17例健在。结论 :经腹腔镜多极针射频治疗 ,肝癌减瘤效果确切 ,可到达B型超声、CT不能到达的部位 ,肝穿刺射频创面出血容易发现并及时处理 ,比B型超声、CT下治疗更加安全。 Objective: To investigate the clinical value of laparoscopic multi-pole radiofrequency ablation of advanced liver cancer. Methods: 21 cases of advanced hepatocellular carcinoma treated by laparoscopic multi-pole radiofrequency were analyzed. Clinical data were analyzed. Results: All the procedures in this group were successful and no postoperative bleeding, pneumothorax or perforation complications were found. Tracing for 15 months, 4 died and 17 were alive. Conclusion: The laparoscopic multi-pole radiofrequency ablation has the best effect of reducing the tumor of liver cancer, which can reach the site where B-mode ultrasound and CT can not reach. It is easy to find out and treat the hemorrhage of liver puncture radiofrequency wound more safely than B-mode ultrasound and CT .