Objective：To investigate the clinical results of hepatectomy for bleeding of spontaneous rupture of hepatocellular carcinoma (HCC). Methods：The clinical data of 24 cases admitted to our hospital from Jan 1990 to Mar 2004 was analyzed retrospectively.Results：Surgical hemostasis was achieved successfully in 100.0% (24/24) of patients. The postoperative mortality rate was 4.1% (1/24), and the complication rate 12.5%（4/24）. Liver function recovered within two weeks after operation. The length of hospital stay was 14.75±6.25 days.Twenty-one patients were followedup from 6 month to 36 months. 8 patients died from recurrence within 10 months postoperatively; 10 patients survived over 1 year, 1 patient over 2 years and 1 over 3 years. The overall 1year survival rate was 58.3%（13/24）.Conclusions：In the management of bleeding of spontaneous rupture of HCC, hepatectomy can effectively stop the bleeding and excise the tumor at the same operation. In some patients, a radical excision can be achieved, and, if the patient′s condition permits it, hepatectomy should be the treatment of choice.