摘要对于无法根治的肿瘤晚期患者，有相当一部分需要外科干预，外科医师在肿瘤姑息治疗发挥着重要的作用，仍然是肿瘤姑息治疗的主力军。但在现有的医学教育制度当中，外科医师的培训内容较少涉及肿瘤姑息治疗的内容。事实上，在肿瘤的姑息治疗中，外科医师肩负着改善患者生活质量、减轻患者疼痛、维护患者尊严及缓解晚期患者诸多症状的重任。外科医师应重视与晚期肿瘤患者的沟通，充分发挥临床多学科团队的作用，采用合理的外科干预方法。对外科医师姑息治疗的教育，还应包含医学人文的关怀，了解纯粹的外科技术以外的医学人文、伦理、尊严和宗教等的诸多社会因素对肿瘤患者康复的影响。

abstractsFor advanced stage tumor patients who can not receive radical treatment, quite a part of them require surgical intervention. Surgeons play a important role and are still the main force in palliative treatment for tumors. But in present medical education system , training contents for surgeon involving palliative treatment are few. In fact, surgeons have responsibilities for improving the quality of life , ameliorating pain, preserving the dignity and relieving symptoms of patients in the palliative treatment of tumors. Surgeons should pay attentions to the communication with patients, play a part of clinical multidisciplinary team and apply reasonable surgical intervention approach. Education of palliative treatment for surgeons should also include medical humanistic concern, and the recognition of effects of medical humanity, ethics, dignity and religion on the recovery of tumor patients.