我们对12例胃大部分切除术后食管癌，施行食管癌切除，食管残胃吻合术。术后进食情况良好。并着重对残胃血供及残胃能否提至胸内足够高度与食管吻合等进行讨论。作者指出此术式简单、并发症少、术后保留残胃消化功能及改善生活质量。 We conducted 12 cases of esophageal cancer after major gastrectomy and performed esophageal cancer resection and residual esophageal anastomosis. Postoperative food was good. Focus on the residual gas supply and residual stomach can be raised enough to the chest and esophageal anastomosis and other discussions. The authors pointed out that this method is simple, with few complications, postoperative residual digestive function and improved quality of life.