非开胸食管内翻拨脱术是一种治疗下咽部癌,食管癌和贲门癌选择性采用的手术方法,本术式适于确定病变属早期、病变局限、周围无软组织块影,无明显淋巴结转移者,尤其全身情况较差、年老体弱、心肺功能欠佳而不适应开胸手术的病例,本文报告4例,在临床上已取得了较为良好的近期效果。作者复习文献后对手术方法、适应证、并发症及疗效等进行了讨论。 Non-thoracotomy esophageal inversion and dissection is a selective surgical method for the treatment of hypopharyngeal cancer, esophageal cancer and cardia cancer. This surgical procedure is suitable for determining the early stage of disease, localization of lesions, and the absence of soft tissue mass shadows around. Patients with obvious lymph node metastases, especially those with poor general condition, frail old age, and poor cardiopulmonary function that are not suitable for thoracotomy, have been reported in 4 cases and have achieved relatively good short-term clinical results. After reviewing the literature, the author discussed surgical methods, indications, complications, and therapeutic effects.