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近端胃癌是指食管与胃交界处附近的腺癌。目前，手术切除是治疗近端胃癌最有效的方法，手术方式有很多，主要是近端胃切除术和全胃切除术。近端胃切除术有效预防了术后消化功能低下和贫血等并发症的发生，但是术后反流性食管炎影响了患者术后生命质量；全胃切除虽然能够部分减少反流性食管炎，但仍不能完全避免，术后永久性并发症也较多。“,”Proximal gastric cancer refers to adenocarcinoma nearby esophagus and gastroesophageal junc-tion.Currently,surgical excision is the most effective way for the treatment of proximal gastric cancer,and there are many surgical approaches,mainly including proximal gastrectomy and total gastrectomy.Proximal gastrectomy can realize effective prevention of postoperative digestive dysfunction ,anemia and other complica-tions,but postoperative reflux esophagitis affects quality of life of the patients.Although total gastrectomy can partially reduce reflux esophagitis,but still cannot completely avoid it,which has a lot of postoperative perma-nent complications.