手术是癌症治疗史上最古老的方法;直到今天它仍被认为是用得最多和效果最好的治疗方式。经外科手术治愈的癌症患者,比其它任何单一治疗手段为多;但是在过去的30～40年中,对于一般肿瘤采用单独手术切除,并未使治愈率有明显提高。本文将对手术疗效停滞不前的原因加以探讨,并对手术治疗提出一个新的观点,可能对于提高外科疗效有所裨益。 Surgery is the oldest method in the history of cancer treatment; it is still considered to be the most used and most effective treatment today. The cancer patients who have been cured by surgery are more than any other single therapy; however, in the past 30 to 40 years, surgical resection alone for common tumors did not significantly improve the cure rate. This article will discuss the reasons for the stagnation of surgical outcomes, and propose a new perspective on surgical treatment, which may be beneficial for improving surgical outcomes.