Objective To investigate the clinical features of gastric cancer,the choice of surgical approach and perioperative treatment.Methods The clinical data of 38 cases(aged 21 to 82 years) of gastric cancer from January 2006 to June 2012 were analyzed retrospectively.The age in 28 of them was more than 60 years.Results The surgical treatment were performed in all 38 cases,including radical(D2 or D3) resection in 27 patients(71.0%),short circuit procedures or ostomy surgery in 8 cases(21.0%),widely metastatic cancer was founded in the operation and abdominal exploration was performed to prepare biopsy in 3 cases(8.0%).Seven cases were with postoperative complications(18.4%).One case died(2.6%).Conclusion The gastric cancer patients are commonly with multiple clinical stage Ⅲ to Ⅳ,most of them are elderly patients often combined with multiple organ chronic degenerative conditions.A reasonable choice of surgical treatment is the key to improve survival rate of patients with gastric cancer.