Objective:To investigate the feasibility and safety of completely thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy for esophageal carcinoma.Methods:Retrospective analysis was made on the clinical data of 61 patients with esophageal carcinoma who were treated by completely thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy from October 2009 to August 2011.Results:All operations were successful.No perioperative mortality occurred.The operating time was 290~460 min

with the mean time of(365.65±45.48) min.Among the 61 patients

1.64%(1/64) were switched to open thoracic operation.There was low incidence of postoperative complications.Anastomotic leakages occurred in 2 patients(3.28%).Pulmonary infections occurred in 2 patients(3.28%).Jejunal obstruction occurred in 1 patient(1.64%).The average postoperative length of stay was(11.91±2.91) days.The average number of dissected lymph nodes was(29.13±9.18).Conclusion:Completely thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy for esophageal carcinoma is safe and feasible.