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［目的］探讨外科治疗食管癌的经验。［方法］自１９８８年至１９９８年对１００例食管癌施行切除术，其中上段８例，中段７２例，下段２０例，手术入路计经左颈、右胸、腹部三切口１８例，右胸、腹部二切口４９例，右胸后外侧单切口５例，左后外侧单切口 ２８例，切除食管后均作食管胃一层间断吻合重建消化道。［结果］住院死亡４例，死亡率为４％，术后发生吻合口瘘２例。术后５年生存率为３７．２％（１６／４３）。［结论］食管癌的手术入路应取决于病灶的所在部位；主张一层食管胃吻合术重建消化道；为了提高食管癌术后的生存率，必须作广泛的食管切除及彻底的淋巴结清扫。
[Objective] To explore the experience of surgical treatment of esophageal cancer. [Methods] 100 cases of esophageal cancer from 1988 to 1998 were performed resection, including 8 cases in the upper segment, 72 cases in the middle segment, and 20 cases in the lower segment. Eighteen cases of left cervix, right thoracic and abdominal incisions were performed in the surgical approach. Right chest There were 49 cases of abdominal incisions, 5 cases of right posterolateral thoracic incision, and 28 cases of left posterolateral single incision. After resection of the esophagus, anastomosis of the esophagus and stomach was performed to reconstruct the digestive tract. [Results] 4 patients died in hospital and the mortality rate was 4%. There were 2 cases of postoperative anastomotic leakage. The 5-year survival rate was 37.2% (16/43). [Conclusion] The surgical approach of esophageal cancer should depend on the location of the lesion; advocate a layer of esophagogastric anastomosis to rebuild the digestive tract; in order to improve the survival rate of esophageal cancer, extensive esophageal resection and thorough lymph node dissection must be performed.