晚期胃癌是指确诊时已处于Ⅳ期者 ,非根治术后以及根治术后复发转移者 ,化学治疗成为主导姑息疗法。晚期胃癌化疗近 10年有显著进步与发展 ,化学治疗水平的提高直接影响胃癌的总体疗效。有效的晚期胃癌化疗方案可用于术前、术后及区域化疗 ,提高胃癌治疗水平。　　近 10年晚期 Advanced gastric cancer refers to patients who have been diagnosed with stage IV, who have undergone non-radioactive treatment, and who have recurrence and metastasis after radical resection. Chemotherapy has become the dominant palliative therapy. The advanced chemotherapy of gastric cancer has made significant progress and development in the past 10 years. The increase in the level of chemotherapy directly affects the overall efficacy of gastric cancer. An effective advanced gastric cancer chemotherapy regimen can be used for preoperative, postoperative and regional chemotherapy to improve the treatment of gastric cancer. Late 10 years