食管癌和贲门癌切除后主要以胃代食管。近年来对食管胃吻合技术的改进不断有文献报道。这些改进的主要目的是预防术后吻合口瘘和吻合口狭窄这两个主要并发症。本文报告的改进方法,是用下肺韧带或带蒂大网膜包盖吻合口代替传统的吻合口第四排食管胃浆肌层包埋缝合。目的是减少吻合口的瘢痕组织,扩大 After esophageal and cardiac cancer resection, gastric replacement esophagus was mainly used. In recent years, improvements in esophageal gastric anastomosis have been reported in the literature. The main purpose of these improvements is to prevent the two major complications of postoperative anastomotic leakage and anastomotic stenosis. The improved method reported in this paper is to replace the traditional anastomosis fourth-row esophagus and gastric pulp muscles with an anastomosis of the lower lung ligament or pedicled omentum. The purpose is to reduce the scar tissue of the anastomosis and enlarge