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本文通过１２６例病例分析及文献复习，探讨了贲门癌淋巴结转移的特点：（１）贲门癌先向腹腔淋巴结转移，晚期才向胸腔淋巴结转移；（２）贲门癌向脾门、脾动脉淋巴结转移机率并不比向幽门上、下淋巴结转移机率小。依据淋巴结转移规律，对贲门癌治疗提出两点探讨意见：（１）对早期贲门癌及老年合并心肺疾患者应提倡经腹手术；（２）贲门癌在行全胃切除时必须附加脾或脾、胰尾切除，否则单纯强调全胃切除是不恰当的。
This article through 126 cases analysis and literature review, explored the characteristics of lymph node metastasis of cardiac cancer: (1) cardiac cancer lymph node metastasis to the first, late metastasis to the chest lymph node; (2) cardiac cancer to the splenic portal lymph node metastasis The probability is not less than the chance of metastasis to the upper and lower pylorus. According to the law of lymph node metastasis, two suggestions for treatment of cardia cancer are proposed: (1) Patients with early cardiac cancer and elderly patients with heart and lung disease should be encouraged to undergo abdominal surgery; (2) Gastric cancer must be attached with spleen or spleen when performing total gastrectomy , Pancreatic tail resection, or simply emphasize total gastrectomy is not appropriate.