目的探讨非开胸食管内翻拔脱术治疗食管癌的手术方法、适应证、术后并发症及防治方法。方法非开胸食管内翻拔脱术治疗上段食管癌15例、下段食管癌6例,行胃食管颈部端侧吻合。结果全组无手术死亡。随访16例,术后已生存5年及以上者4例,生存>3～<5年者5例,0.5～3年者3例;术后1～5年内死亡4例,其中2例死于癌转移,2例死于其他疾病。结论该术式具有微创、术后恢复快等优点,尤其适用于上段、下段早期病灶及心肺功能差的患者,但该方法技术要求高,应严格掌握适应证。 Objective To investigate the surgical methods, indications, postoperative complications and prevention and treatment of esophageal non-open esophageal variceal extraction. Methods Fifteen cases of upper esophageal cancer and 6 cases of lower esophageal cancer were treated by esophageal variceal extraction without thoracotomy. The end-to-side anastomosis of the gastroesophageal neck was performed. Results All patients died without surgery. There were 16 cases who were followed up for 5 years and above, 5 cases survived for 3 ~ <5 years and 3 cases were for 0.5 ~ 3 years. Four cases died within 1 to 5 years after operation, of which 2 died Metastasis, 2 patients died of other diseases. Conclusion The technique has the advantages of minimally invasive and rapid postoperative recovery. It is especially suitable for upper and lower early lesions and patients with poor cardiopulmonary function. However, the method requires high technical requirements and should be strictly controlled.