Lower and middle esophageal cancer can be treated by either trans-right chest or combined abdominal and cervical surgery. Esophageal cancer, also known as esophageal carcinoma, is a malignant tumor of the esophageal epithelium, which is a common digestive tract tumor. The treatments for esophageal cancer include surgery, radiotherapy and chemotherapy. The more the esophageal cancer is in the lower segment, the easier it is to remove it cleanly by surgery. If the esophageal cancer occurs in the middle and lower middle segment, surgical treatment should be considered first. Such as esophagogastrectomy, minimally invasive esophagectomy, etc. After surgery, chemotherapy and radiotherapy will be carried out according to the situation. Patients with poor physical condition, serious cardiopulmonary insufficiency, obvious external invasion of tumor, perforation phenomenon, distant metastasis, etc. are generally not suitable for surgery. For patients with lower and middle esophageal cancer, it is recommended to actively go to regular hospitals and take targeted treatment under the guidance of doctors, so as to avoid delaying the condition.