我国在食管癌的诊断和治疗方面有独特的成就,发明了食管细胞采取器,普查出大量的早期癌,手术效果居国际领先地位,也发明了许多吻合方法。近年来CT、MRI、食管内镜超声等检查的使用,提高了判断食管癌外侵或转移的灵敏度,再加上麻醉和围手术期管理的进步,使食管癌外科有所发展,总的趋势是手术适应证逐渐扩大,手术切除率有所提高,手术死亡率降到2～5％,5年生存率为24～40％。为了达到良好的手术效果,根据具体病例,可选择不同的手术方法。为了提高手术根治程度和安全性,我科自1987 China has unique achievements in the diagnosis and treatment of esophageal cancer, inventing esophageal cell harvesters, and detecting a large number of early-stage cancers. The surgical results are in an internationally leading position and many infusion methods have been invented. In recent years, the use of CT, MRI, and esophageal endoscopic ultrasonography has increased the sensitivity of judging the invasion or metastasis of esophageal cancer. In addition, advances in anesthesia and perioperative management have led to the development of esophageal cancer surgery. The surgical indications were gradually expanded, the surgical resection rate was increased, the surgical mortality rate was reduced to 2 to 5%, and the 5-year survival rate was 24 to 40%. In order to achieve a good surgical result, depending on the specific case, different surgical methods can be selected. In order to improve the degree of radical surgery and safety, our department since 1987