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作者报告收治贲门癌（含高位胃癌）行全胃切除术38例，其中行左下胸第8～10肋床切口手术22例，经上腹切口手术16例。两组治疗情况进行比较，从手术切口、手术并发症、病理检查结果及随访存活情况进行对比分析讨论，发现以左下胸切口组为优。胸切口组与腹切口组并发症发生率分别为9．0％与25．0％。5年生存率分别为23．8％与16．7％。故此认为：较晚期的贲门及近侧胃癌还是选用左下胸切口为妥。
The authors report 38 patients undergoing total gastrectomy for cardiac cancer (including high gastric cancer), of which 22 patients underwent left-lower thoracic 8-10 rib bed incision and 16 patients underwent abdominal incision. Comparing the treatment of the two groups, the results of surgical incision, surgical complications, pathological examination results and follow-up survival were compared and analyzed. It was found that the left lower thoracic incision group was superior. The incidence of complications in the thoracic incision group and the abdominal incision group was 9.0% and 25.0%, respectively. The 5-year survival rates were 23.8% and 16.7%, respectively. Therefore, it is believed that the use of the left lower thoracic incision is appropriate for the later cardia and proximal gastric cancer.