目的探讨比较胸、腹腔镜联合手术与常规开胸手术治疗食管癌的近期疗效。方法 88例食管癌患者作为研究对象,随机将患者分为对照组和观察组,每组44例。对照组实施常规开胸手术治疗,观察组实施胸、腹腔镜联合手术治疗。观察两组的肺部并发症发生率,同时统计分析患者对手术治疗的满意度。结果观察组患者有7例发生术后并发症,发生率为15.9%;对照组有19例发生术后并发症,发生率为43.2%。观察组患者术后并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。观察组患者对手术治疗满意度(97.7%)显著高于对照组(68.2%),差异具有统计学意义(P<0.05)。结论胸、腹腔镜联合手术的临床治疗效果比常规开胸手术治疗食管癌的效果好,值得临床应用推广。 Objective To compare the short-term effects of thoracic and laparoscopic surgery combined with conventional thoracotomy in the treatment of esophageal cancer. Methods A total of 88 patients with esophageal cancer were randomly divided into control group and observation group, 44 cases in each group. The control group underwent conventional thoracotomy and the observation group underwent thoracic and laparoscopic surgery. The incidence of pulmonary complications in both groups was observed, and the patients’ satisfaction with surgical treatment was statistically analyzed. Results In the observation group, 7 patients had postoperative complications, the incidence rate was 15.9%. In the control group, 19 patients had postoperative complications, the incidence rate was 43.2%. The incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Surgical treatment satisfaction rate in the observation group (97.7%) was significantly higher than that in the control group (68.2%), the difference was statistically significant (P <0.05). Conclusions The clinical effect of thoracic and laparoscopic surgery is better than conventional thoracotomy for esophageal cancer, which is worthy of clinical application.