目的:总结腹腔镜左半肝切除的临床经验。方法:2002年1月至1007年2月，广西医科大学第一附属医院对28例原发病灶位于左半肝的病人，应用电刀、超声刀等断肝，肝断面采用腔镜下用肝针缝合并喷洒生物蛋白胶等处理方法，行腹腔镜左半肝切除术28例，其中行解剖性左半肝切除术8例，非解剖性左半肝切除术20例。合并胆囊切除1例。结果:28例手术均获得成功。手术时间（251.15±40.94）min，术中出血（422.20±146.01）mL。无并发症，住院时间（5.98±0.73）d。结论:腹腔镜左半肝切除安全、可行，具有微创的优点；可作为治疗原发病灶局限于左半肝疾病术式选择。

Objective:To evaluate the feasibility of laparoscopic left liver rescetion. Methods:Candidate for laparoscopic left liver rescetion were 28 cases including hepatic hemangioma 3 cases,15 cases of hepatolithiasis,10 cases of primary hepatic carcinoma.Electriccautery,ultracision were used for left liver transection.Operative procedures includeded anatomical left hepatectomy in 8 case,nonanatomical left hepatectomy 20 cases.1 cases were performed cholecystectomy synchronously. Results:Laparoscopic left liver rescetion was successfully performed in all 28 cases.The operative duration was （251.15±40.94）min;The quantity of blood lost during the operation was （422.20±146.01）mL.The postoperative recovery was smooth and good.No complications occurred.The duration for hospitalization after operation was （5.98±0.73） day. Conclusion:Laparoscopic left liver rescetion is a prospective and minimally invasive technique which can be carried out safely and effectivel.