Objective To explore the operative methods for senile patients with cardiac carcinoma.Method 38 senile patients with cardiac carcinoma in developing stage and administered total gastrectomy were analyzed and 1～5 years follow-up were given.Results No operation induced death and no anastomosis fistular occured and the 1,3,and 5-year survival rates were 73.68%,52.63%,and 22.86% respectively.Conclusion Laparotomy might be the optimal treatment to the senile patients with cardiac carcinoma.Reconstruction of digestive tract might be suitable for most of the senile patients with developing cardiac carcinoma.Total gastrectomy may diminish the occurrence of complications and may give a better long-term survival rate.

Objective To investigate the down stage effect and long-term results of preoperative chemoradiotherapy for locally advanced lower rectal adenocarcinoma. Methods From Jan. 1989 to Jul 1999, 103 patients suffering from lower rectal carcinoma were treated. Criteria entry: 1. Distance between anal verge and centre of tumor 4-8?cm(median 6.2?cm), 2. Uncertainty in decision of preservation of anus before admission, 3. Lesion belonged to locally advanced type, 4. definitive pathology, clinical stage and presence of objective observation of tumor extent, 5. Performance status proposed by Eastern Cooperative Oncology Group 0-2, 6. Age0.05), 25.5% and 48.5% (P