目的 :探讨老年人胃癌的外科治疗。方法 :回顾性分析 5 6例 60岁以上胃癌患者的外科治疗资料。结果 :老年胃癌患者常有梗阻、出血 ,合并症多 ( 64 %) ,肿瘤切除率为 86%,术后并发症发生率为 3 8%,围手术期死亡率为 5 %。结论 :手术切除是目前老年胃癌病人最好治疗方法 ,而早期诊断 ,选择合理的手术方式以及加强围手术期处理是提高疗效的重要措施 Objective: To investigate the surgical treatment of gastric cancer in the elderly. Methods: Surgical data of 56 patients with gastric cancer over the age of 60 were retrospectively analyzed. Results: Obstruction, bleeding and complications were common in elderly patients with gastric cancer (64%), tumor resection rate was 86%, postoperative complication rate was 38% and perioperative mortality rate was 5%. Conclusion: Surgical resection is the best treatment for elderly patients with gastric cancer, and early diagnosis, the selection of reasonable surgical methods and to strengthen the perioperative management is an important measure to improve the efficacy