经裂孔食管切除术治疗１５例中晚期食管癌及贲门癌患者。结果１例术后死于肺炎，其余基本恢复正常进食，未发生重要医源性损伤和大出血。术中和术后平均总输血量７５０ｍｌ。较常见的并发症为喉返神经麻痹和颈部吻合口瘘。该手术不开胸，手术时间较短，对年迈、心肺功能差的病人非常有利。术前判断切除的可能性对选择合适的病例十分重要。 The treatment of 15 patients with advanced esophageal and cardiac cancers was performed by split hole esophagectomy. Results One patient died of pneumonia after operation. The rest basically resumed normal feeding. No important iatrogenic injury and major bleeding occurred. The average total blood transfusion was 750ml during and after surgery. The more common complications are recurrent laryngeal nerve paralysis and neck anastomotic leakage. The operation does not open the chest, and the operation time is short, which is very beneficial to elderly patients with poor cardiopulmonary function. Preoperative judgment of the possibility of resection is important for selecting the right case.