解剖性肝切除自1985年Masatoshi Makuuchi教授提出后，逐渐被广大外科医生所认可。在根治肿瘤的前提下，解剖性肝段切除保留了更多的肝脏功能，对局限于肝段的肿瘤，是较为理想的手术方式。但腹腔镜下肝段切除术难度较大，开展较为困难，本文笔者结合相关研究进展及自身手术经验对腹腔镜肝段切除术的难点与策略进行探讨。

Anatomical hepatectomy has been gradually accepted by surgeons since professor Masatoshi Makuuchi proposed in 1985. Under the premise of radical resection of tumor, anatomic segmental resection of liver retains more liver function, which is an ideal surgical method for tumors limited within hepatic segment. However, Laparoscopic segmentectomy of the liver is more difficult and could be carried out well by all surgeons. In this paper, the difficulties and strategies of laparoscopic segmentectomy were discussedbased on relevant research progress and our own surgical experience.