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The number of surgical operations for elderly patients with hepatocellular carcinoma increases as the population ages. The aim of this study was to evaluate surgical and survival outcomes in elderly patients who underwent laparoscopic or open hepatectomy for hepatocellular carcinoma. We analyzed the data of 169 patients aged 70 or over who underwent hepatectomy for hepatocellular carcinom between January 2013 and December 2018. Sixty-four pairs were selected after propensity score matching for laparoscopic or open hepatectomy for hepatoc