21例胸段食管癌采用开胸食管内翻拨脱术治疗，取颈左侧切口，上下会师钝性剥离合管及病变，全部胃代食管、颈部吻合、手术成功率达100％，治疗结果：生存1年以上14例，占66.7％；3年以上4例，占19％；术后吻合瘘2例，幽门梗阻1例，死于心脏病突发1例。我们认为，本术式作为一种姑息性手术，可应用于不宜开胸的中晚期胸段食管癌患者，术后积极配合放疗、化疗等综合治疗，可取得良好效果 Twenty-one patients with thoracic esophageal cancer were treated with thoracic esophageal inversion and dissection. The left side neck incision was taken. The blunt dissection of the upper and lower exoskeleton was combined with the lesions. All stomachs had an esophageal and cervical anastomosis. The success rate of the operation was 100%. RESULTS: Fourteen patients survived for more than 1 year, accounting for 66.7%; 4 patients accounted for more than 3 years, accounting for 19%; 2 patients had anastomotic spasticity, 1 had pyloric obstruction, and 1 died of heart attack. We believe that this surgical procedure can be used as a palliative surgical procedure in patients with moderately advanced thoracic esophageal cancer who are not suitable for thoracotomy. Postoperative radiotherapy and chemotherapy combined with active therapy can achieve good results.