Surgical indications for liver resection for hepatocellular carcinoma

        (1) The patient’s general condition is good, no significant organomegaly such as heart, lung and kidney.        (2) The liver function is normal, or only mildly damaged, according to the liver function grade A; or the liver function grade is B, after short-term liver care treatment liver function returned to A grade.        (3) The liver reserve function is basically within the normal range.        (4) No unresectable extrahepatic metastatic tumor.        (1) Single hepatocellular carcinoma, with smooth surface, clear boundary or pseudo-envelope formation, and <30% of liver tissue destroyed by tumor; or although the liver tissue destroyed by tumor is >30%, but the tumor-free side of the liver has obvious compensatory enlargement of more than 50% of the whole liver tissue.        (2) Multiple tumors with less than 3 tumor nodes confined to one segment or lobe of the liver.       (1) 3-5 multiple tumors beyond half of the liver with multiple limited resections; or tumors confined to 2-3 adjacent liver segments or half of the liver with significant compensatory enlargement of tumor-free liver tissue to more than 50% of the whole liver on imaging (2) Hepatocellular carcinoma located in the central region of the liver with significant compensatory enlargement of tumor-free liver tissue to more than 50% of the whole liver.        (3) If there is lymph node metastasis in the hilar region, if the primary liver tumor can be resected, tumor should be resected and lymph node dissection in the hilar region should be performed at the same time; if lymph node dissection is difficult, radiofrequency ablation, microwave, freezing or anhydrous ethanol injection can be performed intraoperatively, or radiotherapy can be performed after surgery.        (4) If the surrounding organs are invaded, if the primary liver tumor can be resected, it should be resected together with the invaded organs; for single metastatic tumor of distant organs, such as single lung metastasis, resection of primary liver cancer and resection of metastases can be performed simultaneously.