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联合脏器切除术是局部晚期胃肠道肿瘤的外科治疗手段。其手术技术复杂、创伤大、预后尚无定论,因此需要严格掌握手术适应证,避免不恰当的联合脏器切除决策导致过度医疗。术者需术前充分的影像学评估预判、术中对可切除性的仔细判定、熟悉各类联合切除术式的解剖径路、认识不同联合脏器切除的相应并发症、强化围手术期准备和管理,使联合脏器切除达到安全有效的目的。
Combined organ resection is a surgical treatment of locally advanced gastrointestinal tumors. The surgical technique is complex, traumatic, and the prognosis is inconclusive. Therefore, it is necessary to strictly grasp the surgical indications and avoid inappropriate joint organ removal decisions resulting in over-treatment. The surgeon must have sufficient preoperative imaging assessment preoperatively, careful assessment of the resectable intraoperatively, familiarity with all types of combined anatomical approaches, understanding of the complications associated with different complications, and strengthening perioperative preparation And management, so that the joint organ removal to achieve safe and effective purposes.