Yang, a 76-year-old man living in Anqing, was found to have a 1.0*1.0cm bulging lesion at 30cm from the incisor by gastroscopy during his physical examination a week ago. At 9:30 on July 5, the operation started, firstly, five 0.5-1.0cm incisions were made on the patient’s abdominal wall to complete laparoscopic gastric freeing and abdominal lymph node dissection through these “keyholes”, and then a 5cm incision was made under the subxiphoid process to complete the “tubular stomach”. “At 11:10, one 4-cm size and three 0.5-1.0-cm size “keyholes” were made in the chest wall to complete the thoracoscopic freeing of the esophagus and mediastinal lymph node dissection, and then the clutch base was inserted to complete the thoracoscopic end-lateral anastomosis of the esophagus and the tubular stomach. The operation was very smooth and took just over 4 hours. After the operation, the patient had a strong cough and mild incisional pain, and was able to get out of bed the next day with rapid recovery. However, the traditional Ivor-Lewis radical esophagectomy requires a 20 cm long incision in the right chest and upper abdomen respectively, which cuts off the latissimus dorsi, serratus anterior and rhomboid muscles and the upper abdominal muscles, resulting in the destruction of the thoracic The integrity of the abdominal cavity is destroyed, and the patient recovers slowly after the operation, and is prone to pulmonary complications, as well as difficulties in raising the upper limbs and sequelae such as “frozen shoulder”, etc. Because of the destructive nature of the operation, some older patients with poor lung function are deprived of the opportunity to operate. Combined thoraco-laparoscopic radical esophageal cancer surgery” is a remarkable progress in the history of thoracic surgery, which not only overcomes the shortcomings of traditional open thoracotomy, but also changes the traditional “zipper” incision into the current “button” incision, which is less traumatic, and has the advantage of “button” incision. “It has the advantages of less trauma, faster recovery and less surgical complications, and is the most advanced surgery for esophageal cancer at present. Since July 2012, Anqing Municipal Hospital has performed 20 cases of Ivor-Lewis radical esophageal cancer surgery under full laparoscopy with good results.