本文报告食管癌和贲门癌３５４例的外科治疗结果。食管癌１２２例，贲门癌２３２例，共３５４例。食管癌、贲门癌切除率分别为８７．７％、８１．９％。切除术后发生并发症３１例，死亡８例，并发症发生率为１０．４％，切除手术死亡率为２．７％。食管癌、贲门癌切除术后五年生存率分别为２９．７％、２６．２％。作者对影响远期生存的因素及提高切除率问题进行了探讨。 This article reports the results of surgical treatment of 354 cases of esophageal and cardiac cancers. 122 cases of esophageal cancer, 232 cases of cardiac cancer, a total of 354 cases. The resection rates of esophageal and cardiac cancers were 87.7% and 81.9%, respectively. Complications occurred in 31 patients after excision and 8 died. The complication rate was 10.4%, and the operative mortality was 2.7%. The five-year survival rates after esophageal and cardiac cancer resection were 29.7% and 26.2%, respectively. The author discusses the factors that affect the long-term survival and raise the resection rate.