Ｏｂｊｅｃｔｉｖｅ　To compare the outcomes of jugular vein punctures under the guidance of cross-sectional and longitudinal imaging in patients undergoing hepatectomy, including the success rate of puncture, time for positioning the tubes, and the risk of postoperative complications.　Methods　Ninety patients undergoing hepatectomy between September 2012 to September 2014 were enrolled in this study. The patients were randomly assigned into A group (n=45) and B group (n=45), who received jugular vein punctures guided by crosssectional and longitudinal ultrasonic imaging, respectively. 　Results　Both cross-sectional and parasagittal ultrasonic imaging were similarly effective to obtain high success rate in jugular vein punctures(P>0.05). The time spent positioning the tubes in A group[(8.1±1.4) min] was significantly shorter than B group[(15.9±3.1) min](P<0.01). But, the risk of postoperative complications in A group was significantly higher than B group(P<0.05).　Conclusions　The guidance of cross-sectional and longitudinal ultrasonic imaging for jugular vein punctures has advantages in faster positioning of tubes and lower risk of complications, respectively.