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食管癌是常见的恶性肿瘤之一，手术治疗仍是治疗食管癌的主要方法。随着胸、腹腔镜器械的发展，微创技术越来越广泛地应用在食管癌治疗中。目前微创食管癌手术方式主要有胸腹腔镜联合食管癌切除术，纵隔镜下食管癌切除术、机器人辅助食管癌切除术等。目前关于微创食管癌切除与开放食管癌切除比较的研究很多，虽然尚不清楚哪种微创手术方式是更加优越的方法，但在失血量、肺部并发症和住院时间方面，每种方法都可能优于开放性食管切除术。无论使用何种微创方法，外科医师都必须接受系统培训，提高独立操作所需的经验水平。最终，在技术成熟的医师实施下，食管切除术中的微创方法优于开放式食管切除术。

Carcinoma of the esophagus is one of the common malignant tumors, and surgical treatment is still the main method for the treatment of esophageal cancer. With the development of thoracoscopic and laparoscopic instruments, minimally invasive esophagectomy is more and more widely used in the treatment of esophageal cancer. At present, minimally invasive esophagectomy mainly includes thoracoscopic and laparoscopic esophagectomy, mediastinoscopic esophagectomy, robot assisted esophagectomy, etc. At present, there are many studies on the comparison between minimally invasive esophagectomy and open esophagectomy. Although it is not clear which minimally invasive surgical method is more superior, each method may be superior to open esophagectomy in terms of blood loss, pulmonary complications and hospital stay. No matter what method is used, surgeons must be trained in a structured system to improve the level of experience required for independent operation. Ultimately, with the implementation of experienced doctors, the minimally invasive method in esophagectomy is superior to open esophagectomy in technically feasible cancer cases.