胃癌(gastric cancer)是一个全球性的疾病,据统计2008年新增胃癌989 600例,死亡738 000例,在男性中居肿瘤相关性死亡的第3位,在女性中为第5位[1]。早期诊断和手术治疗是提高胃癌长期生存率最有效的方法,然而临床上大部分胃癌患者就诊时已处于进展期。对于侵犯周围脏器的局部进展期胃癌,彻底切除受累的脏器以及足够范围的淋巴结清扫是延长患者生存时间最根本的措施。以往多数学者对侵犯周围脏器的局部进展期胃癌采取联合脏器切除有所顾虑,主要原因是手术适应证不明确、近期并发症的发生率高以及远期效果不理想。然而随着手术技术和围手术期处理的进步,以及术后辅助化疗等为主的综合治疗措施不断改进,胃癌联合脏器切除的开展越来越广泛,而且根治性手术的实际效果也得到了肯定,目前文献 Gastric cancer is a global disease. According to statistics, there were 989 600 new cases of gastric cancer and 738 000 deaths in 2008. It is the third most cancer-related death among men and the fifth among women. [1] . Early diagnosis and surgical treatment are the most effective methods to increase the long-term survival rate of gastric cancer. However, most of the clinical patients with gastric cancer have been in advanced stages of treatment. For locally advanced gastric cancers that invade surrounding organs, the complete removal of affected organs and adequate range of lymph node dissection are the most fundamental measures to prolong the survival of patients. In the past, most scholars were concerned about the use of combined organ resection for locally advanced gastric cancer that invaded the surrounding organs, mainly because of the lack of clear indications for surgery, the high incidence of recent complications, and the unsatisfactory long-term effects. However, with advances in surgical techniques, advances in perioperative management, and postoperative adjuvant chemotherapy, continuous improvements have been made, and the development of gastric cancer combined with organ resection has become more widespread, and the actual effect of radical surgery has also been achieved. Sure, the current literature