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为了评估食管癌、贲门癌各种手术入路的优缺点，我们总结食管贲门癌手术2120例，其中病变位于食管颈、胸上、中、下段及贲门者分别为26、280、936、408、470例。经左后外侧剖胸，包括左胸、左颈两切口者1995例，并发症6．6％（133／l955）；经右胸一腹正中一颈三切口者58例，并发症24．1％（14／58）；颈腹二切口者20例；胸腹联合切口者39例，并发症7．6％（3／39）：经上腹正中切口者8例。认为左后外侧剖胸因切除肿瘤彻底、暴露良好、操作方便、创伤小利于恢复，能满足大多数食管癌根治术；对食管中上段癌尤其病变位于主动脉右侧者以右胸三切口更符合肿瘤切除原则，更安全方便。
In order to evaluate the advantages and disadvantages of various surgical approaches for esophageal and cardiac cancers, we summarized 2120 cases of esophageal and cardiac cancer surgery, in which the lesions located at the neck of the esophagus, upper chest, middle and lower segments, and cardiac squat were 26, 280, 936, and 408, respectively. 470 cases. The left posterolateral thoracotomy included 1995 cases of left chest and left neck incisions, and the complication rate was 6.6% (133/l955); 58 cases had right midline and one neck triple incision in right chest and abdomen, and the complication was 24.1. % (14/58); Neck and abdomen two incisions in 20 cases; thoracoabdominal combined incision in 39 cases, 7.6% (3/39) of complications: 8 cases through the midline abdominal incision. The left posterolateral thoracotomy was considered to be thorough, well-exposed, easy to operate, and minimally invasive for recovery. It could satisfy most esophageal cancer radical resections. In the upper esophagus, especially in the right side of the aorta, right thorax three incisions were better. In line with the principles of tumor removal, it is safer and more convenient.