Objective:To Evaluation in Patients with Different Gastric Tube Reconstruction after esophagectomy With thoracoscopy and laparoscopyfor esophageal carcinoma.Methods Fromjune 2009 toDecember 2009

35 esophageal cancer patients underwent esophagectomy With thoracoscopy and laparoscopy for esophageal carcinoma.There were 20 patients in the retrosternal group and 15 in the prevertebral group Evaluation indicators include the amount of surgical bleeding

operative time

number of lymph nodes removed

Postoperative gastric juice volume

perioperative complications

postoperative hospital stay.Results Amount of bleeding

operative time

number of lymph nodes removed

postoperative hospital stay between the two groups surgery was no statistical difference.postoperative pulmonary complications and gastric juice volume in the retrosternal group were significantly lower than that of the prevertebral group.Anastomotic leakage occurred more frequently in retrosternal group than in preyertebral group.Conclusion:In esophagectomy With thoracoscopy and laparoscopy for esophageal carcinoma

different path has their own advantages and disadvantages.Determining the path to use should be in according with the patients

condition