我国肝癌病人常合并有不同程度的肝硬化,从而在腹腔镜肝切除术(LH)的各个环节给术者造成了额外的手术风险和技术障碍。在病例选择、合理布孔、精准肿瘤定位、恰当切线制定、出入肝血流控制、精细的肝实质离断、积极预防出血等各方面专注于细节优化是对合并肝硬化肝癌病人顺利实施LH的关键。 Patients with hepatocellular carcinoma often have different degree of cirrhosis in our country, which causes additional surgical risk and technical obstacles to the surgeon in all aspects of laparoscopic liver resection (LH). In the selection of cases, reasonable holes, precise tumor location, the appropriate tangential development, access control of hepatic blood flow, fine liver parenchyma, and actively prevent bleeding and so focus on the details of the optimization of liver cirrhosis patients with the successful implementation of LH The essential.