目的　介绍食管后壁套入、前壁斜形食管胃吻合术。方法　采用食管后壁套入、前壁斜形食管胃吻合术治疗158例食管癌患者 ,其中胸内吻合 53例 ,颈部吻合 10 5例。结果　 158例患者术后发生吻合口瘘 2例 ,占 1.3 % ;无一例吻合口狭窄。随诊结果满意。结论　食管后壁套入、前壁斜形食管胃吻合术治疗食管癌 ,并发症少 ,术后吻合口瘘发生率低 ,效果满意 Objective To introduce esophageal posterior wall into the anterior oblique esophageal anastomosis. Methods A total of 158 patients with esophageal cancer underwent esophageal anastomosis and anterior esophageal anastomosis, including 53 cases of intrathoracic anastomosis and 105 cases of neck anastomosis. Results 158 cases of anastomotic fistula occurred in 2 cases, accounting for 1.3%; no case of anastomotic stenosis. Satisfied with the results of follow-up. Conclusions esophageal posterior wall sheathing, anterior oblique esophageal gastroesophageal anastomosis for the treatment of esophageal cancer, fewer complications, postoperative anastomotic leakage rate was low, with satisfactory results