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本文就１７６例胃上部癌胃近端大部切除术１０７例，全胃切除术６９例的治疗结果进行回顾性比较分析。胃近端大部切除和全胃切除术后并发症分别为４４．９％和５６．５％，死亡率分别为４．９％、５．８％，全胃切除不增加术后并发症和死亡率。但全胃切除术后返流食道炎明显高于近切，而吻合口狭窄后者高于前者。５例多发癌均发现在全胃切除组中，胃近切组中发现２例胃内再发癌，再次手术切除。胃近切易残留胃内多发癌灶，引起复发；全胃切除的根治性比胃近切高，５年生存率在近切和全胃切除中分别为２５．２％和２７．６％，二者无差异。胃近端大部切除术只适合于局限于贲门部的局限性肿瘤。
In this paper, we retrospectively analyzed and compared the therapeutic results of 176 patients with upper gastric cancer and 107 patients undergoing total gastrectomy and total gastrectomy. The complications after proximal gastrectomy and total gastrectomy were 44.9% and 56.5%, respectively, and the mortality rates were 4.9% and 5.8%, respectively. Total gastrectomy did not increase postoperative complications and mortality rate. However, reflux esophagitis after total gastrectomy was significantly higher than that of proximal cut, and the latter was higher than the former. Five cases of multiple cancers were found in the total gastrectomy group. Two cases of gastric cancer were found in the proximal gastrectomy group and were resected again. Gastric proximal resection retained multiple cancerous foci in the stomach, causing recurrence; total gastrectomy was radically more effective than proximal gastrectomy, and the 5-year survival rate was 25.2% and 27.6% in proximal and total gastrectomy, respectively. There is no difference between the two. Proximal subtotal gastrectomy is only suitable for localized tumors confined to the cardia.