[目的]探讨残胃癌外科治疗。[方法]回顾性总结5年来收治的28例残胃癌的手术治疗效果。[结果]本组28例残胃癌根治性切除率为53.57%,姑息性切除率为17.86%,根治性切除术后1年、3年、5年生存率分别为86.67%、53.33%、33.33%。[结论]根治性全胃切除是残胃癌的主要治疗手段,也是影响其生存率的关键。 [Objective] To investigate the surgical treatment of residual gastric cancer. [Methods] The surgical treatment effect of 28 cases of residual gastric cancer treated in 5 years was retrospectively reviewed. [Results] The radical resection rate of gastric cancer was 53.57% and palliative resection rate was 17.86% in 28 cases. The 1-year, 3-year and 5-year survival rates after radical resection were 86.67%, 53.33% and 33.33% . [Conclusions] Radical total gastrectomy is the main treatment for residual gastric cancer and the key factor influencing its survival rate.