目的　探讨老年贲门癌患者的临床特点及外科治疗的合理方案。方法　经胸手术 130例 ,经腹133例。根治性切除 2 13例 (80 .99% ) ,其中近端胃大部切除 186例 (87.32 % ) ,全胃切除 2 7例 (12 .6 8% ) ;根治术中联合脏器切除 19例 (8.92 % )。姑息性切除 5 0例 (19.0 1% )。结果　所有患者术后均无吻合口漏 ,切缘均无癌细胞存留 ,无一例死亡。术后发生并发症 4 3例 (16 .35 % )。结论　加强围手术期处理 ,合理选择手术路径与手术方式 ,可提高手术的安全性 ,减少老年贲门癌患者术后并发症的发生。 Objective To investigate the clinical features of elderly patients with cardia cancer and surgical treatment of a reasonable plan. Methods Thoracotomy 130 cases, 133 cases of abdominal. There were 217 cases (80.9%) with radical resection, of which 186 cases (87.32%) were proximal gastrectomy and 27 cases (27.68%) were gastrectomy. In the radical mastectomy, 19 cases (8.92%). Palliative resection of 50 cases (19.0 1%). Results All patients had no anastomotic leakage after operation, and no cancer cells remained on the margin, and none died. Postoperative complications occurred in 43 cases (16.35%). Conclusion To strengthen the perioperative management, reasonable choice of surgical approach and operation, can improve the safety of surgery, reduce the incidence of postoperative complications in elderly patients with cardiac cancer.