Traditional esophageal cancer resection adopts more esophagogastric circumferential anastomosis, and the anastomotic effect of this anastomosis method is no longer controversial, but some patients will have postoperative anastomotic stenosis and need to perform anastomotic expansion several times, which brings physical and mental pain to patients. The circumferential anastomosis method is usually in the anterior wall of the stomach, and often in the posterior wall of the stomach in the case of neck anastomosis, but the anastomosis does not select the most apical part of the stomach, and often deviates from it. After the completion of the anastomosis, it will result in the redundancy of the apical part of the stomach and narrow space at the anastomosis site, causing inconvenience and laying hidden dangers for the operation. Especially in patients with significant redundant gastric bodies, folding and angulation can form, pulling the anastomosis and forming a blind end, which increases surgical complications. Lateral esophagogastric anastomosis completely solves the problem of anastomotic stenosis and makes the esophagogastric physiology go in the same direction, avoiding the above disadvantages. Especially in the case of cervical anastomosis, the advantages are outstanding, avoiding the inconvenience and possible contamination caused by another stoma in the gastric wall by the circumferential anastomosis, and also avoiding the interlacing of the anastomotic site stumps caused by the closure of the closure after another stoma and affecting blood flow. Lateral anastomosis is also more suitable for gastric tube anastomosis, and very little of the gastric wall can be used to complete the anastomosis. There are two types of lateral anastomoses. One is intrathoracic lateral anastomosis and the other is cervical lateral anastomosis. Intrathoracic lateral anastomosis is firstly done by applying laparoscopic freeing of the stomach and a small incision on the right side to complete the anastomosis. In the thorax, the stomach is made into a gastric tube with an ordinary large stump closure, and the anastomosis is made directly in the stomach wall, and the linear cutting closure cuts the esophagus and the stomach, at this time, the posterior wall of the anastomosis can be seen under direct vision, and after checking is correct, the gastric tube is placed, and the anterior wall is closed with a small stump closure, and there is no need to worry about the anastomotic stenosis when closing, and the tissue just needs to be nailed and exact, and more nails and some are not relevant. The lateral neck anastomosis is first thoracoscopically freed from the esophagus, and then laparoscopically freed from the stomach, while a small neck incision is made to present the esophagus cut. Then a small incision of about 5 cm was made from the middle of the abdomen to raise the esophagus and stomach, and the large stump closure was used to continuously nail and make the gastric tube, and the gastric tube was lifted to the neck with the assistance of laparoscopy to close the abdomen. The steps of lateral neck anastomosis were the same as intra-thoracic, and after completing the anastomosis, the esophagus and stomach could be seen to be almost integrated and flowing along the esophageal bed towards the closure of the neck. With the combined thoracoscopic lateral esophagogastric anastomosis approach, the patient had no postoperative sensation of hypopharyngeal obstruction, and the postoperative follow-up imaging showed no obstruction of the barium through the anastomosis, no cornering, and a natural gastric tube course with no gastric dilatation or distortion. Our initial follow-up data found that the patient had no obvious symptoms such as reflux heartburn and no abnormal diet after the operation, which was estimated to be related to making the gastric tube to reduce gastric acid secretion. The lateral-sided anastomosis method breaks the pattern of the ring anastomosis, diversifying the esophageal surgical approach and providing more ideas and options for clinical thoracic surgeons. The advantages of the lateral-sided anastomosis approach, which does not increase the cost of surgery, avoids anastomotic stricture, and maximizes the post-anastomotic digestive access to a physiological state, are worthy of continued exploration. (Partly extracted from our hospital journal, October 2011, which has been published in Yanzhao City News, Issue 09, October 2011)