目的　食管癌贲门癌切除后食管胃吻合口用带蒂大网膜包盖 ,减少并发症。方法　肋间切口开胸将食管癌或贲门癌切除 ,均采用食管胃斜切口单层宽边吻合后大网膜包盖。结果　贲门癌 36 8例及中下段食管癌 192例应用此方法 ,无吻合口瘘及近期无吻合口狭窄 ,反流性食管炎 2例 ,药物治疗后症状消失。结论　大网膜包盖 ,手术安全 ,操作简单。 Objective Esophageal gastric anastomoses were resected with pedicled omentum after esophageal and cardiac cancer resection to reduce complications. Methods Intercostal incision thoracotomy resection of esophageal or cardiac cancer, were used esophagogastric oblique incision monolayer wide anastomosis after omentum cover. Results There were 368 cases of cardiac cancer and 192 cases of middle and lower esophageal cancer. There was no anastomotic leakage and no anastomotic stenosis and reflux esophagitis occurred in 2 cases. The symptoms disappeared after drug treatment. Conclusion The omentum cover is safe and easy to operate.