China is a high incidence area of esophageal cancer and one of the countries with high mortality rate of esophageal cancer in the world, with an average annual mortality rate of 1.3~90.9/100,000. Once esophageal cancer is diagnosed, it should be treated mainly by surgery. Traditionally, the left posterior-lateral thoracic incision is the main approach in China, which is usually about 40cm long and requires cutting large muscles such as latissimus dorsi muscle, which is traumatic and painful for patients after surgery. In foreign countries, it is customary to perform two incisions on the right chest and abdomen, and this surgical approach is more thorough for lymph node dissection. For some patients with higher lesion location, a triple incision operation is required, with one incision in the neck, chest and abdomen, which is more traumatic, takes longer and is more painful for the patient after surgery. Minimally invasive surgery started to appear since the 1990s, but minimally invasive techniques in thoracic surgery are mostly concentrated in pulmonary surgery, because of the complicated operation and large field of esophageal cancer surgery, minimally invasive techniques progressed slowly until recent years. Minimally invasive surgical methods for esophageal cancer are also varied, depending on the condition and the habit of the surgeon. The main ones are as follows: 1.Small incision on the left chest. 2.Abdominal incision plus small incision on the right chest. 3.Thoracoscopy plus abdominal incision with intrathoracic anastomosis or cervical anastomosis. 4.Thoracoscopy combined with laparoscopy with intrathoracic anastomosis. 5.Thoracoscopy combined with laparoscopy and cervical anastomosis. These minimally invasive hand modalities have their own advantages and disadvantages, but the most cutting-edge surgical modality is thoracoscopic combined with laparoscopic surgery. Compared with traditional surgery, there are only 3-4 small holes in both chest and abdomen, no large surgical incisions, greatly reduced trauma and less intraoperative bleeding, while the surgical results are comparable to those of traditional surgery. However, this procedure is technically demanding, and only a very few hospitals in China have the ability to perform this surgery. After painstaking efforts, we are now able to perform all existing minimally invasive esophageal surgery procedures, many of which are original, forming a cluster of minimally invasive esophageal cancer surgery procedures. 1. Small incision surgery on the left chest: The incision is only about 12-15 cm, and the large muscles on the back are not cut, so the trauma is significantly reduced compared with traditional surgery. Only very few hospitals in China have the ability to complete this procedure, and the number of cases and complexity of the procedure we have completed are among the top in China. 2.Bloodless esophageal cancer radical surgery: Developed on the basis of small incision in the left chest, through a series of measures to reduce intraoperative bleeding, the intraoperative bleeding of esophageal cancer is reduced from hundreds of milliliters to tens of milliliters, and the intraoperative bleeding is the least in China. 3.Thoracoscopic combined with laparoscopic radical esophageal cancer surgery: It is the most cutting-edge surgery in thoracic surgery, with small trauma and good effect, and only very few hospitals in China are able to perform it, we have made a series of improvements to this surgery, with only a few small holes in the chest and abdomen, no auxiliary incision, and real full lumpectomy, and we have shown greater advantages in operation time and intraoperative bleeding.