摘要：目的：探讨治疗老年人贲门癌的手术方法。方法：回顾性分析了38例老年人进展期贲门癌经腹全胃切除术，术后随访时间1～5年。结果：全组无手术死亡及吻合口漏发生。随访1、3、5年生存率分别为73.68%、52.63%和22.86%。结论：老年人贲门癌应首选经腹探查，大部分进展期老年人贲门癌选择恰当的消化道重建方式经腹全胃切除术有利减少并发症且远期效果良好。

    关键词：贲门癌；手术

    Clinical Analysis on 38 Senile Cases of Cardiac Carcinoma with Total Grastrectomy

    CAI Gao-yang, CHEN Wei-rong, CHEN Ye-xi, et al

    (The Surgery Department of the Second Affiliated Hospital of Shantou University Medical College, Guangdong Shantou 515041,China)

    Abstract： Objective： To explore the operative methods for senile patients with cardiac carcinoma. Method： 38 senile patients with cardiac carcinoma in developing stage and administered total gastrectomy were analyzed and 1～5 years follow-up were given. Result： No operation deducing death and no anastomosis fistular occur and the 1, 3, and 5-year survival rates were 73.68%, 56.63%, and 22.86% respectively. Conclusion： Laparotomy might be the optimal treatment to the senile patients with cardiac carcinoma, reconstruction of digestive tract might be suitable for most of the senile patients with developing cardiac carcinoma, total gastrectomy may diminish the occurrence of complications and may give a better long-term survival rate. ......