Esophageal cancer is one of the more common malignant tumors, which seriously endangers people’s life and health. At present, the main means of its treatment should be surgical removal of the diseased esophagus and reconstruction of the digestive tract as the first choice, and early esophageal tumors can obtain excellent results. The Department of Thoracic Surgery of Long March Hospital has carried out surgical treatment of esophageal cancer in thousands of cases over the years. According to the patient’s lesion site and nature, different surgical methods and different organ substitution are used to reconstruct the digestive tract, including (traditional left neck, right chest, epigastric incision, left neck anastomosis of gastric substitution esophagus; right chest, epigastric incision right thoracic apex anastomosis; left chest, left neck incision anastomosis; left thoracic aortic arch superior anastomosis; left thoracic aortic arch inferior anastomosis; esophageal inversion and extraction, colonic substitution esophageal neck anastomosis. Resection of residual gastric cardia and residual gastroesophageal cancer, reconstruction of the digestive tract with jejunum or colon instead of esophagus.