目的 观察电视胸腹腔镜下与传统开胸手术治疗食管癌的疗效对比分析；方法 将我院收治并确诊的116例食管癌患者随机分为两组。对照组58例采用传统开胸手术治疗，而试验组58例采用电视胸腔镜手术治疗。比较两组患者在手术住院及术后并发症发生率的差异。结果 试验组患者在手术时间显著大于对照组，比较有统计学差异(P＜0.05，但其术后引流时间、平均住院天数及手术失血量均明显低于对照组，比较有统计学差异(P＜0.05)；试验组患者术后并发症发生率为6.9%显著低于对照组20.7%，比较有统计学差异（P<0.05）；结论 电视胸腹腔镜下较传统开胸手术治疗食管癌的疗效疗效显著。其具有住院时间短，恢复时间快及失血量少的优点，同时患者术后并发症发生率也较小，进而促进患者术后恢复，增加其生活治疗及身心健康，值得临床选择。

Objective:To analyze the clinical effect of VATS and conventional thoracotomy for esophageal cancer. Method:116 patients with esophageal cancer in our hospital were selected and randomly divided into two groups, 58 cases each group. The control group adopted the conventional thoracotomy and experimental group adopted VATS. The hospitalization conditions and postoperative complications of two groups were compared. Result:The operation time of experimental group was significantly longer than that of control group (P＜0.05); The time of surgical drainage, average length of stay and bleeding volume of experimental group was significantly better than that of control group (P＜0.05); the incidence rate of postoperative complications of experimental group (6.9%) was significantly lower than that of control group (20.7%)(P＜0.05).Conclusion: Compared with conventional thoracotomy, VATS has a better effect in esophageal cancer. It is featured as shorter lengthen of stay, faster recovery, fewer bleeding volume and lower incidence rate of postoperative complications. It has promoted the postoperative recovery and improved the patients’ lives and physical and mental health. It shall be applied in clinical practices.