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1983年以来，作者对15例残胃贲门癌、食管瘤患者行再次手术治疗。其中，采用切除肿瘤，保留部分残胃与食管吻合术治疗贲门癌、食管下段癌10例，全胃切除术治疗贲门癌3例和结肠代食管术治疗食管中上段癌2例。残胃食管吻合采用作者设计的食管-胃浆膜肌层套式吻合法，10例患者手术效果满意，进食良好，术后恢复快，预后较3例全胃切除术好。并就手术中残胃的体积、血液供应及消化道重建方式等问题提出了自己的观点，对手术方式的选择及其与预后的关系进行了讨论。
Since 1983, the author has performed reoperation on 15 patients with gastric and cardiac cancer and esophageal cancer. Among them, excision of the tumor, retained part of the residual gastroesophageal anastomosis in the treatment of cardiac cancer, lower esophageal cancer in 10 cases, total gastrectomy for cardiac cancer in 3 cases and colon esophageal treatment of esophageal upper and lower cancer in 2 cases. Gastric esophageal anastomosis was designed by the author’s design of esophageal-stomach sarcomeromyocardial nested anastomosis, 10 cases of patients with satisfactory results, eating well, rapid postoperative recovery, the prognosis is better than 3 cases of total gastrectomy. The author also put forward his own viewpoints on the volume of the remnant stomach, the blood supply and the way of reconstruction of the digestive tract, and discussed the choice of surgical methods and the relationship with the prognosis.