食管癌、贲门癌是我国常见的恶性肿瘤之一。手术治疗是一重要治疗手段。迄今为止,食管切除、重建术尚未定型,术式较多,手术方法仍处于不断改进完善之中。我们对隧道式吻合术进行了改良,创立食管与胃粘膜吻合胃浆肌瓣包盖吻合口术式即改良隧道式吻合术。1989年1月至1996年1月用该术式治疗食管癌、贲门癌108例,现报告如 Esophageal and cardiac cancers are one of the most common malignancies in China. Surgical treatment is an important treatment. So far, esophageal resection and reconstruction have not yet been established, and there are many surgical procedures. The surgical method is still in continuous improvement. We have modified the tunnel anastomosis by creating an anastomosis of the esophagus and gastric mucosa with an anastomosis of the gastric musculoskeletal flap, namely modified tunnel anastomosis. From January 1989 to January 1996, 108 cases of esophageal and cardiac cancers were treated with this procedure. Current reports are as follows: