１９９０年１月至１９９５年１２月作者采用非开胸食管内翻剥脱术治疗高位食管癌１１例。其中下咽癌２例，颈段食管癌１例，上胸段食管癌８例；病理诊断均为鳞癌。术后发生吻合口瘘３例，声音嘶哑２例，腹壁切口裂开１例。全组无手术死亡。术后随访１０个月～５年，除１例失访外，３例死于肿瘤复发，余７例均健在。本文仅就手术适应证及术后并发症的预防进行了讨论。 From January 1990 to December 1995, the authors used non-thoracotomy esophagectomy for 11 cases of high esophageal cancer. There were 2 cases of hypopharyngeal carcinoma, 1 case of cervical esophageal carcinoma, and 8 cases of upper thoracic esophageal carcinoma. The pathological diagnosis was squamous cell carcinoma. Anastomotic fistula occurred in 3 cases, 2 cases of hoarseness, and 1 case of abdominal wall incision. There was no operative death in the entire group. During the follow-up period of 10 months to 5 years, 3 cases died of tumor recurrence except 1 case lost. The remaining 7 cases were all healthy. This article only discusses the surgical indications and the prevention of postoperative complications.