经腹手术根治胃上部癌，可避兔经胸手术后心肺并发症，也有利于腹腔转移性淋巴结的清扫，创伤小，安全性大。但食管切除长度受限，胸腔转移淋巴结难以清扫，且由于食管显露受限及吻合困难等原因，容易发生食管切缘癌残留和吻合口疾，故应严格掌握经腹手术的适应证。我科自1990 The abdominal surgery to cure upper stomach cancer can avoid the cardiopulmonary complications after transthoracic surgery in rabbits, and it is also conducive to the removal of metastatic lymph nodes in the abdominal cavity, with less trauma and greater safety. However, the length of esophageal resection is limited, and it is difficult to dissect lymph node metastasis in the thoracic cavity. Because of limited esophageal exposure and difficulty in anastomosis, esophageal resection margin cancer and anastomotic disease are prone to occur. Therefore, the indications for abdominal surgery should be strictly controlled. My department since 1990