为探讨胃次全切除术后残胃贲门癌的再手术治疗。本文观察了 16例残胃贲门癌行再手术的情况 ,其中 3例因有远处转移未能切除 ,另 13例行贲门胃底切除残胃食道吻合 (9例 ) ,全胃切除空肠食管端侧吻合 (2例 ) ,空肠Roux -y吻合(1例 )及横结肠代胃术 (1例 )。作者认为残胃贲门癌的治疗以手术切除为主 ,化疗、放疗和综合治疗为辅。术中尽可能保留残胃 ,并行余胃和食管吻合 ,手术操作简单 ,创伤小 ,并发症少 ,同时又能保留残胃消化功能 ,提高了生存质量。 To investigate the reoperation of remnant gastric cardia cancer after subtotal gastrectomy. This article observed the reoperation of 16 cases of remnant gastric cardia cancer, of which 3 cases could not be removed due to distant metastasis, and the other 13 patients underwent gastic esophageal anastomosis (9 cases), total gastrectomy Jejuno esophagus Side-to-side anastomosis (2 cases), Roux-y jejunostomy (1 case) and gastroenterotomy (1 case). The authors believe that the treatment of remnant stomach cancer is mainly surgical resection, supplemented by chemotherapy, radiotherapy and comprehensive treatment. During the operation, the residual stomach is preserved as much as possible, and the remaining stomach and esophagus are anastomosed. The operation is simple, the wound is small, and the complications are small. At the same time, the digestive function of the residual stomach can be preserved and the quality of life can be improved.