Esophageal cancer is the second most prevalent digestive system tumor in China, and surgical resection has been the main means to obtain radical cure for esophageal cancer, but traditional surgery with high trauma and high incidence of postoperative complications, especially for elderly patients, has been one of the difficulties in the field of thoracic surgery. Recently, the Department of Cardiothoracic Surgery of the First Affiliated Hospital of SUDA, led by Director Ma Haitao, with Director Zhao Jun and Director Mao Zhongqi of the lumpectomy ward in charge, completed thoracoscopic combined with laparoscopic radical treatment of esophageal cancer in two patients with upper esophageal cancer. Due to the location of upper esophageal cancer and the requirement of radical surgery, traditional surgery requires a triple incision of cervical-thoracic-abdominal incision, which is very traumatic. This technique changed the huge trauma of triple incision surgery by making only eight to nine 1.5 cm incisions in the patient’s chest and abdomen and one 3 cm incision in the left side of the neck, and completing the esophageal resection, as well as the freeing of the stomach and lymph node dissection and the cervical anastomosis of the stomach instead of the esophagus completely under the lumpectomy. Compared with conventional surgery, the postoperative incisional pain was significantly reduced in these two patients, and they were able to sit up and move around on the first day after surgery, and both were successfully discharged from the hospital about one week after surgery. Due to the aging of society, there are more and more elderly patients with esophageal cancer, coupled with long-term poor diet and poor nutritional status, the traditional surgical approach is highly traumatic and the postoperative pain is more obvious, which increases the incidence of complications such as pulmonary infection. Combined with TV laparoscopic free stomach surgery, there is no need to cut off the diaphragm, and the movement of abdominal muscle and diaphragm is minimally affected during breathing, which is more conducive to postoperative coughing and coughing up sputum, fast recovery of respiratory function and reduction of pulmonary infection complications. Therefore, the postoperative recovery is faster and the hospitalization time can be significantly reduced. Since the scope of esophageal tumor involves three parts: neck, chest and abdomen, minimally invasive surgery requires the surgeon to have not only excellent thoracoscopic skills, but also to be able to skillfully apply laparoscopic techniques. Therefore, the development of minimally invasive radical esophageal cancer surgery is very difficult and demanding, and there are few reports at home and abroad. The fully lumpectomized radical esophageal cancer surgery completed in our hospital recently is the first report in Suzhou, which fills a gap in the field of minimally invasive treatment of esophageal cancer in our city and marks that the minimally invasive thoracic surgery in our hospital has reached the advanced level in China. Although lumpectomy is minimally invasive, can it completely remove esophageal cancer and achieve the effect of radical treatment? This is a question that many patients and their families are concerned about. According to the introduction of Director Zhao Jun, under lumpectomy, through the use of mirror image, the surgery can be performed safely under “direct vision”, and it is conducive to the clearance of lymph nodes in deeper areas, so whether it is esophagectomy or mediastinal lymph node clearance, it can achieve the requirement of radical treatment of tumor, which has the same curative effect compared with conventional open-heart surgery. Therefore, both lumpectomy and mediastinal lymph node dissection can achieve the requirement of radical tumor treatment and have the same curative effect compared with conventional open surgery.