晚期胃癌常直接侵犯邻近器官。有人主张对胰十二指肠区 ,肝、胆道、横结肠转移者应积极行扩大切除 [1 ] ,有人则对治疗持悲观保守态度 [2 ] ,胃下 1/3癌常侵犯胰十二指肠区 ,但真正能够行胰十二指肠切除术者极少 ,加上手术创伤大 ,易出现各种严重并发症 ,故临床可选择病例不多 Advanced gastric cancer often directly invades adjacent organs. Some people advocate that the pancreatic duodenal area, liver, biliary tract, transverse colon metastasis should actively expand the resection [1], some people have a pessimistic attitude towards treatment [2], sub-invasive 1/3 of the stomach often invade the pancreas Intestinal area, but the real pancreatoduodenectomy can be very few, combined with surgical trauma, prone to serious complications, so the clinical choice of patients is not much