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目的：报道２５０例小肝癌手术切除的效果。材料与方法：我院１９６４年１０月至１９９７年１２期间，经手术切除的２５０例直径小于或等于５ｃｍ的小肝癌。结果：手术切除后生存３年以上８９例，５年以上５６例，１０年以上１４例。其术后１、３、５、１０年生存率分别是８９．８％、７２．４％、５６．９％、４５．４％，手术死亡率为１．６％。结论：肝癌切除术是治疗小肝癌最有效的方法。医学影像学的进步、亚临床期小肝癌的增多、小肝癌切除手术的简化、综合治疗的广泛应用以及复发后的再治疗均使小肝癌手术疗效得到提高。
Objective: To report the effect of surgical resection of 250 cases of small hepatocellular carcinoma. Materials and Methods: From October 1964 to December 1997 in our hospital, 250 cases of small hepatocellular carcinoma with a diameter of less than or equal to 5 cm were surgically resected. RESULTS: After surgery, 89 cases survived for more than 3 years, 56 cases were more than 5 years, and 14 cases were more than 10 years. The 1-, 3-, 5-, and 10-year survival rates were 89.8%, 72.4%, 56.9%, and 45.4%, respectively, and the operative mortality was 1.6%. Conclusion: Hepatocellular carcinoma resection is the most effective method to treat small hepatocellular carcinoma. The advancement of medical imaging, the increase of small hepatocellular carcinoma in subclinical phase, the simplification of resection of small hepatocellular carcinoma, the extensive use of comprehensive treatment, and the retreatment after relapse have all improved the curative effect of small hepatocellular carcinoma.