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目的：减低老年人贲门癌病人的围术期死亡率和并发症。方法：联合应用左上腹斜切口以及食管-残胃或肠隔下一层吻合术，为59例老年人贲门癌进行手术治疗。结果：全组无手术死亡，无吻合口瘘，术后肺部并发症以及吻合口狭窄明显减少。结论：本术式损伤小、暴露好、切除彻底、术时短、恢复快，特别适用于老年贲门癌病人。
Objective: To reduce perioperative mortality and complications in elderly patients with cardiac cancer. METHODS: A total of 59 elderly patients with cardia cancer were treated with a combination of an oblique incision in the left upper abdomen and an anastomosis in the esophagus-residual stomach or intestine. Results: There was no operative death and no anastomotic leakage in the whole group. Postoperative pulmonary complications and anastomotic stenosis were significantly reduced. Conclusion: This surgical method has small damage, good exposure, thorough resection, short operation time, and quick recovery. It is especially suitable for elderly patients with cardiac cancer.