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目的：回顾性分析贲门癌的外科治疗和影响其切除率、生存率的因素，以及手术前并存症和术后并发症的防治。方法：从１９７５年至１９９４年共收治贲门癌１４５０例，生存率按寿命表法计算。结果：前１４年和后５年的手术切除率、并发症率、死亡率（％）分别是７０．３和８７．１、７．８和５．１、１．２和０．５。结论：通过前后两组病例比较，提示对贲门癌术前并存症的积极治疗及对手术操作的改进是减少术后并发症的有效措施。术前对贲门、胃底三重造影，超声显象，ＣＴ检查对估计贲门癌切除的可能性有显著价值。作者对癌瘤的病理、切缘残留癌及贲门癌大出血与治疗效果作评价。
OBJECTIVE: To retrospectively analyze the surgical treatment of cardiac cancer and the factors influencing its resection rate and survival rate, as well as the prevention of preoperative complications and postoperative complications. Methods: A total of 1,450 cardiac cancers were treated from 1975 to 1994. The survival rate was calculated according to the life table method. Results: The resection rate, complication rate, and mortality rate (%) in the first 14 years and the last 5 years were 70.3 and 87.1, 7.8 and 5.1, 1.2, and 0.5, respectively. Conclusions: Comparing the two groups before and after, it is suggested that the active treatment of preoperative complications of cardia cancer and the improvement of surgical operation are effective measures to reduce postoperative complications. Preoperative triple imaging of cardia and gastric fundus, ultrasound imaging, and CT examination are of significant value in estimating the possibility of resection of cardiac cancer. The authors evaluated the pathology, marginal residual cancer, cardiac bleeding, and treatment efficacy of cancer.