我国腹腔镜肝癌手术经历探索期、成长期、推广期后，正处于成熟期。这一阶段的腹腔镜肝癌手术技术已经成熟，手术适应证与开腹手术逐渐趋同，围手术期安全性和长期预后也得到了证实。如何进一步规范我国腹腔镜肝癌手术是目前阶段的重点工作。本文就上述各阶段进行简要回顾，并对我国腹腔镜肝癌手术治疗现状、问题与发展进行概述。

Laparoscopic liver cancer surgery in China has evolved through four distinct stages：exploratory，growth，promotion，and current maturity.During this mature phase，the technical approaches have become standardized，with surgical indications now closely paralleling those of open hepatectomy.Perioperative safety profiles and long-term oncological outcomes have been rigorously validated through multicenter studies.Present efforts focus on nationwide standardization and addressing persistent challenges such as anatomical complexity and training disparities.This article reviews the evolutionary trajectory of laparoscopic liver resection in China，analyzes its current clinical implementation，and discusses remaining barriers alongside future directions for innovation.