我科1988年至1995年4月采用经改进的胸膜切口行全胃切除术治疗15例晚期贲门癌,占我院同期贲门癌切除病人的1/3。无吻合口瘘,无手术死亡。现报道如下。1 对象与方法1.1对象晚期贲门癌患者15例,年龄39～73岁,平均54岁。70%>50岁。均有明显进食困难和体重减轻。按 TNM 分期,Ⅲ期 From 1988 to April 1995, our department used a modified pleural incision for total gastrectomy to treat 15 cases of advanced cardial cancer, which accounted for 1/3 of the patients with cardia cancer resection in our hospital. No anastomotic fistula, no operative death. The report is as follows. 1 Subjects and Methods 1.1 Subjects There were 15 patients with advanced cardiac cancers, aged 39-73 years, with an average age of 54 years. 70%> 50 years old. Both have obvious eating difficulties and weight loss. By TNM stage, stage III