我们对5例食管中段癌患者行食管中段癌切除,保留食管下端括约肌生理功能,左颈部食管端端吻合,对防止术后返流性食管炎效果满意。保留食管下段2.5～4cm,颈部吻合无张力,对食管血供无影响,关键是将胃小弯侧充分游离。本组无吻合口瘘、狭窄等并发症。经近期随访无返流表现,上消化道钡餐造影动态观察食管蠕动,贲门开放功能如常。但远期效果有待进一步观察。 We performed a resection of the middle esophageal cancer in 5 patients with middle esophageal cancer, preserved the physiological function of the lower esophageal sphincter, and performed anastomosis of the esophagus in the left neck, which was satisfactory for prevention of postoperative reflux esophagitis. Retain the lower esophagus 2.5 ~ 4cm, neck anastomosis without tension, no effect on esophageal blood supply, the key is to fully free the small curvature side. There were no complications such as anastomotic leakage and stricture in this group. After recent follow-up without reflux, upper gastrointestinal barium meal dynamic observation of esophageal peristalsis, open cardiac function as usual. However, the long-term effects need further observation.