在多中心按荷兰胃癌外科治疗方案，对适当病冽随机采取一致的胃癌根治术，评价包括扩大淋巴结清扫、联合脾脏或胰腺切除等影响术后并发症和死亡率的危险因素的重要性。病人和方法从1989年8月至1993年7月对1078例中711例大体观察肿瘤可活动、无腹腔或肝脏转移、无超过第二站淋巴 In the multi-center surgical treatment of gastric cancer in the Netherlands, a consistent radical gastrectomy for the appropriate disease was performed. The evaluation included the importance of expanding lymph node dissection, combined with spleen or pancreas resection, and other risk factors affecting postoperative complications and mortality. Patients and Methods From August 1989 to July 1993, 711 cases of 1078 patients were grossly observed for tumor activity, no abdominal or liver metastases, and no lymph nodes beyond the second station.