Hepatic alveolar echinococcosis，known as “parasitic cancer”，often infiltrates the posterior inferior vena cava and major intrahepatic structures，making radical surgery dangerous. Radical excision in combination with albendazole is considered the best treatment option，however，due to the risk of air embolism or uncontrolled bleeding，Confluence of the hepatic vein with the inferior vena cava or involvement of the inferior vena cava has long been considered contraindications in liver surgery. With the development of medical technology and liver transplantation in recent years，vascular reconstruction can be used to cure end-stage hepatic vesicular acanthococcosis with inferior vena cava infiltration. In this paper，the clinical manifestations，auxiliary examination and treatment plan of the lesions invading the posterior inferior vena cava of the liver were summarized，so as to provide reference for the surgical treatment of hepatic alveolar echinococcosis invading the posterior inferior vena cava of the liver.