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目的总结联合脏器切除治疗进展期胃癌的经验。方法对１９８８～１９９３年间施行联合脏器切除的４８例进展期胃癌的临床资料进行回顾性分析。结果４８例中，根治性切除３３例，姑息性切除１５例。其中联合脾切除１４例，脾合并胰体尾切除１２例，脾、胰体尾合并横结肠切除１例，胰体尾合并横结肠切除２例，横结肠切除３例，肝左外叶切除７例，卵巢切除３例，胆囊切除５例，胰十二指肠切除１例。手术死亡率４２％。随访１，３，５年生存率分别为６５１％，３２６％，２７９％。结论作者认为，严格掌握联合脏器切除的指征，恰当的选择手术入路，同时注重病人围手术期的营养支持，是降低并发症，提高手术成功率及远期生存率的重要因素
Objective To summarize the experience of combined organ resection for advanced gastric cancer. Methods The clinical data of 48 patients with advanced gastric cancer undergoing combined organ resection between 1988 and 1993 were retrospectively analyzed. Results Of the 48 patients, 33 underwent radical resection and 15 underwent palliative resection. Including splenectomy in 14 cases, spleen and pancreatic body and tail resection in 12 cases, spleen, pancreatic body and tail with transverse colectomy in 1 case, pancreatic body and tail with transverse colectomy in 2 cases, transverse colon resection in 3 cases, left hepatectomy in 7 cases, ovary Three cases were removed, 5 cases were cholecystectomy, and 1 case was pancreatoduodenectomy. The surgical mortality rate was 4 2%. The 1-, 3-, and 5-year survival rates were 65.1%, 32.6%, and 27.9%, respectively. Conclusion The author believes that strict control of the indications of joint organ resection, appropriate choice of surgical approach, and at the same time paying attention to patient’s perioperative nutritional support are important factors in reducing complications and improving the success rate of surgery and long-term survival.