Abdominal lymph node metastasis of liver cancer indicates that the patient has reached advanced stage and the survival time will be shortened. Liver cancer abdominal lymph node metastasis is the second most common extrahepatic metastatic route besides lung metastasis, which commonly occurs in hilar lymph nodes and abdominal route. Although hepatocellular carcinoma is a tumor with rich blood supply, there are a lot of lymphatic vessels proliferation and expansion in hepatocellular carcinoma tissues, and their distribution is throughout the whole tumor tissues. Clinical studies have found that the survival and prognosis of liver cancer patients with abdominal lymph node metastasis are significantly worse than those without lymph node metastasis. Once liver cancer patients have lymph node metastasis, most of them have lost the chance of surgical resection and can only adopt targeted therapy, immunotherapy, radiation therapy and other treatment methods. It is suggested that patients with abdominal lymph node metastasis of liver cancer should go to regular hospitals for consultation and follow the advice of specialists for active treatment.