目的:探讨胃大部分切除术后患者食管癌的外科术式。方法:17例均采用经左胸后外侧肋间隙切口入路行食管癌切除,将残胃及脾胰尾转移入胸腔,主动脉弓上或弓下行食管残胃端侧手工吻合术。结果:出现吻合口瘘1例,无手术近期死亡,患者全部康复出院。结论:该术式简单,较符合消化道生理,并发症少。 Objective: To investigate the surgical technique of esophageal cancer in patients with gastric resection. Methods: All the 17 cases were treated by esophagectomy via left lateral thoracotomy and intercostal space incision. The residual gastric and spleen and pancreatic tail were transferred into the thorax, aortic arch or arch esophagogastric end-side manual anastomosis. Results: Anastomotic fistula occurred in 1 case, no recent surgical death, all patients were discharged. Conclusion: The technique is simple, more in line with gastrointestinal physiology, fewer complications.