Results: in 35 cases of gastric cardia cancer, 26 men and 9 women, the average age was 61.5 ± 11.2, total gastrectomy was 25/35 (71.4%), Sweet surgery was 7/35 (20.0%), Lewis Santy surgery 2.9%, percutaneous gastrostomy was 5.7%, postoperative complication rate was 11.6%, no death, esophagus section having no cancer cells was 23/31 (74.2%), and cancer cells was 8/31 (25.8%), the average survival after surgery is 23.1 ± 3, 1month, 24 months after surgery, there were 16 patients still alive (49.7%), in 36 months there were 10 patients still alive (28.5%).