目的　探讨巨大肝癌切除术中控制血流的方法。方法 :运用不解剖肝门半入血流阻断切除巨大肝癌 (直径 >10cm) 2 0例。对其应用的结果和应注意的一些问题进行讨论。结果　按讨论条件选择病例手术全部成功 ,无手术死亡 ,术中出血少 ,与操作相关并发症为 10 % ,并发症术中均得到处理 ,对患者生存期无影响。结论　不解剖肝门半入肝阻断行巨大肝癌切除术是安全可行的 Objective To explore the method of controlling blood flow during the resection of giant hepatocellular carcinoma. Methods: Totally 20 cases of giant hepatocellular carcinoma (diameter> 10cm) were excised by half hepatic blood flow without anatomy. The application of the results and some issues should be noted for discussion. Results All cases were selected according to the conditions of the operation. No operative death, less bleeding during operation and 10% complication related to operation were obtained. All the complications were managed intraoperatively and had no effect on the survival of patients. Conclusions It is safe and feasible not to dissect the hilar hepatomegaly with hepatomegaly