自1981年1月至1988年12月,对172例65岁以上的食管癌和贲门癌进行了外科治疗。切除率为85.4％,手术死亡率为4.7％,五年生存率为38.7％,分析表明,高龄患者的切除率及五年生存率均高于青年患者。作者认为,只要认真处理并发症,做好术前准备及术后处理,高龄食管癌和贲门癌患者是可以承受手术的。对高龄患者的外科治疗不要轻易放弃。 From January 1981 to December 1988, 172 cases of esophageal and cardiac cancer above 65 years of age were treated surgically. The resection rate was 85.4%, the operative mortality rate was 4.7%, and the five-year survival rate was 38.7%. The analysis showed that the resection rate and five-year survival rate of older patients were higher than those of young patients. The author believes that as long as careful treatment of complications, good preoperative preparation and postoperative treatment, esophageal and cardiac cancer in elderly patients can withstand surgery. Do not give up on surgical treatment of elderly patients.