积极开展对胃癌肝转移的多学科团队综合治疗

胃癌肝转移（GCLM）是晚期胃癌患者死亡的主要原因。GCLM以多发性转移居多．且常伴有肝外病变．特别是腹膜转移，其中绝大多数的肝转移灶无法获得根治性切除。目前，治疗GCLM的方法主要包括根治性手术治疗、胃癌姑息性切除、转移灶消融治疗、介入治疗以及全身化疗等。根据GCLM治疗现状以及解放军总医院普通外科的临床实践，对于GCLM患者，应综合分析患者的全身状态、原发胃癌类型及肝转移程度等，以个体化治疗为原则，通过多学科团队合作，开展积极的综合治疗，选择合适的综合治疗方法。

Multidisciplinary therapy for gastric cancer with fiver metastasis

Gastric cancer with liver metastasis （GCLM） is the leading cause of death in patients with advanced gastric cancer. Multiple metastasis was common in GCLM and usually complicated with lesions outside the liver, especially peritoneal metastasis. Most of liver metastasis lesions could not be resected radically. Currently, main treatments for GCLM included radical operation, palliative resection of gastric cancer, ablation of metastatic lesions, intervention and systemic chemotherapy. Based on the current progress in the treatment for GCLM and our clinical experience, the general status of patients, the type of gastric cancer and the degree of liver metastasis should be analyzed, and a cooperative multidisciplinary team （MDT） should be applied to conduct and to choose active and suitable comprehensive treatment for GCLM patients based on individualized therapy principle.