作者检查了25例中段及中下段食管癌手术切除标本研究其腹腔淋巴转移情况。24例为鳞癌,位于奇静脉及膈肌食管裂孔上缘,检查了181枚腹部淋巴结,18枚阳性(9.4％),出现在25个病例的8例(34.7％)。越接近贲门阳性率越高。为提高生存率,对中段及中下段食管癌作腹部淋巴解剖是必要的。 The authors examined 25 patients with esophageal carcinoma in the middle and lower esophagectomy to study their peritoneal lymph node metastases. Twenty-four cases were squamous cell carcinomas located on the superior border of the esophageal hiatus of the zygomatic vein and diaphragm. 181 abdominal lymph nodes were examined, 18 were positive (9.4%), and 8 cases (34.7%) occurred in 25 cases. The closer to the cardia the positive rate is. To improve the survival rate, it is necessary to perform abdominal lymphatic dissection on the middle and lower esophageal cancer.