胃癌的标准根治术是指D2淋巴结清扫术,胃癌的扩大根治术是指D3手术或联合脏器切除加D3淋巴结清扫术[1]。在胃癌联合脏器切除中,对于胃上部癌是否联合脾、胰体尾切除及胃下部癌是否联合胰头十二指肠切除,争论较大,结合国内外资料和本人体会谈谈有关问题。日本学者最早提出和开展 Standard radical gastrectomy refers to D2 lymph node dissection, extended radical gastrectomy refers to D3 surgery or combined organ excision plus D3 lymph node dissection [1]. In the combined resection of gastric cancer, for the upper gastric cancer is associated with the spleen, pancreatic body resection and gastric cancer is associated with pancreaticoduodenectomy, the debate is large, combined with domestic and foreign information and personal experience to talk about the relevant issues. Japanese scholars first proposed and carried out