食管癌手术较大，技术要求高。高龄病人的身体条件及主要脏器的功能相对较差，因此，应认真进行术前全面检查，对可能存在的心肺功能不全或贫血、营养不良进行恰当处理，正确估价病人的身体状况及对手术的耐受性及时正确处理术后的并发症，是降低手术死亡率的基础。１　临床资 Esophageal cancer surgery, technical requirements are high. The physical condition of the elderly patients and the function of the main organs are relatively poor. Therefore, a thorough preoperative examination should be conducted carefully to deal with possible cardiopulmonary insufficiency or anemia and malnutrition, and to properly evaluate the physical condition of the patient and the operation. The tolerability of timely and correct treatment of postoperative complications is the basis for reducing operative mortality. 1 Clinical resources