联合脏器切除术是局部晚期胃肠道肿瘤的外科治疗手段。其手术技术复杂、创伤大、预后尚无定论，因此需要严格掌握手术适应证，避免不恰当的联合脏器切除决策导致过度医疗。术者需术前充分的影像学评估预判、术中对可切除性的仔细判定、熟悉各类联合切除术式的解剖径路、认识不同联合脏器切除的相应并发症、强化围手术期准备和管理，使联合脏器切除达到安全有效的目的。

Combined organs resection and complications of gastrointestinal tumors        HU Jian-kun, CHEN Xin-zu, CHEN Xiao-long. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041，China
Corresponding author：HU Jian-kun, E-mail: hujkwch@126.com
Abstract    Combined organs resection is a surgical treatment for locally advanced gastrointestinal tumors. Due to the complicated surgical technique, more severe iatrogenic trauma and uncertain prognosis, the operation indication should be strictly limited to prevent inappropriate decision of combined organs resection from over-treatment. Surgeons require sufficient evaluation through preoperative imaging, careful judgment of resectability intraoperatively, full familiarity with surgical anatomy and procedures of combined resection, well understanding of relevant postoperative complications, and also extensive perioperative management, so that combined organs resection could be more safe and efficient.