食管届穿孔是危及病人生命的严重并发症。传统上是外科手术的禁忌证。中国医学科学院肿瘤医院胸外科张德超主任医师等，自lop年对食管癌穿孔患者行外科手术切除。根据病人全身情况，行根治切除或姑息切除术。有的行全喉、全食管及全肺切除，有的行颈部吻合，合并右肺中下叶切除 Perforation of the esophagus is a serious complication that threatens the lives of patients. Traditionally a contraindication to surgery. Zhang Dechao, chief physician of Department of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, has performed surgical resection of perforated esophageal cancer patients since lop years. According to the patient’s general condition, radical resection or palliative resection. Some patients had full laryngectomy, total esophagectomy and pneumonectomy, some had neck anastomosis, and had right middle lobe and lower lobe resection.