本文通过对1986年至1989年底手术切除的399例近侧胃癌的分析,认为对近侧胃癌(包括贲门癌)的治疗应抱积极态度,尽量做到R_2的根治术式及区域淋巴清扫。胃及食管切除上下切缘至少5cm以上,必要时行全胃切除,并认为直接从左胸第9肋床(甚或第10肋床)进胸的切口较为满意。手术总切除率82.5％,手术死亡率1.23％。 This article analyzes 399 cases of proximal gastric cancer surgically resected from 1986 to the end of 1989, and believes that the treatment of proximal gastric cancer (including cardiac cancer) should take a positive attitude, as far as possible to achieve R2 radical surgery and regional lymph node dissection. The upper and lower resection margins of the stomach and esophagus were at least 5 cm, and total gastrectomy was performed if necessary. It was considered that the incision directly into the chest from the left thoracic 9th rib bed (or even the 10th rib bed) was satisfactory. The total surgical resection rate was 82.5%, and the surgical mortality rate was 1.23%.