目的探讨胃大部切除术后食管癌的手术治疗方法及疗效。方法胃大部切除术后食管癌患者7例,采用经左胸后外侧切口行食管癌切除,将残胃、脾脏及胰尾移入胸腔行食管-残胃器械吻合。结果全组手术均获成功。住院期间无死亡病例发生,无吻合口瘘等严重并发症。结论 胃大部切除术后食管癌,采用残胃、脾脏、胰尾移入胸腔,食管-残胃器械吻合具有操作简单、创伤小、并发症少、手术时间短的特点,可以作为消化道重建的重要方式之一。 Objective To investigate the surgical treatment of esophageal cancer after subtotal gastrectomy and its curative effect. Methods Seven patients with esophageal cancer after subtotal gastrectomy were treated with esophagectomy via lateral posterolateral thoracotomy and the esophagus and splenic tail were transplanted into the thoracic esophagus and the gastric canvases were anastomosed. Results All the procedures were successful. No deaths occurred during hospitalization, no serious complications such as anastomotic fistula. Conclusions Esophageal cancer after subtotal gastrectomy is treated with remnant stomach, spleen and tail of pancreas. The anastomosis of esophageal-gastric device is simple and easy to operate with less trauma, less complications and shorter operation time. It can be used as reconstruction of gastrointestinal tract One of the important ways.