Patient Yu, who was admitted to the hospital with dysphagia, was diagnosed with upper esophageal cancer after admission. Upper esophageal cancer is the most difficult type of esophageal cancer to treat, and usually a triple incision surgery is used, with three surgical incisions in the chest, abdomen and neck respectively, which is highly traumatic and has a high incidence of postoperative complications. After careful study, the surgical team decided to use thoracoscopy combined with laparoscopy for surgical treatment. on December 20, 2011, after the patient was anesthetized, the thoracic esophagus was freed under thoracoscopy, then the stomach was freed with laparoscopy, and finally the stomach was elevated to the neck for anastomosis. Despite the fact that it was the first time to perform this type of surgery, the surgery went very well and the patient recovered quickly after the surgery and was able to walk out of bed on the second day after the surgery and was discharged from the hospital on the tenth day after the surgery. Complete lumpectomy for esophageal cancer is the most advanced surgical procedure in thoracic surgery at present, with minimal trauma, and the clearance of lymph nodes is comparable to or even better than traditional open surgery, and the surgical effect is good. It is especially suitable for early-stage esophageal cancer and elderly patients who cannot tolerate open-heart surgery. However, because of the complicated operation and very high technical requirements, only very few hospitals in China are able to complete this procedure, and there are about ten hospitals with literature reports, some of which need to make small adjuvant incisions in the chest or abdomen, which is not a real full lumpectomy. The surgical team has optimized and improved this procedure, which is a true total lumpectomy without an auxiliary incision in the chest and abdomen. The successful implementation of this surgery marked the next level of our minimally invasive surgery, and the surgical treatment of esophageal cancer entered the minimally invasive era.