Abstract: The present work aims to explore the feasibility of esophagogastric anastomosis, lobectomy, or pulmonary segment resection in patients who suffer from esophageal cancer or carcinoma of gastric cardia with complicating limited bronchiectasis. Methods: Data of 12 cases with cardia cancer or esophageal cancer with complicating limited bronchiectasis who underwent esophagogastric anastomosis and lobectomy or resection of pulmonary segment from May 2006 to May 2010 were reviewed. Results: All 12 patients were cured after surgery and are currently performing normal activities. Early pulmonary infection occurred in one of the patients after surgery, but the patient subsequently recovered. Ventricular bigeminy was found in one case, and the patient recovered after treatment. Follows-up ranging from 1 to 5 years were conducted in all 12 cases. After the surgery, the patients were able to engage in minimal manual labor, without respiratory symptoms such as chronic cough, expectoration, and hemoptysis. Respiratory infections were also reduced. Two of the patients died of recurrent cancer 2 or 3 years post surgery, and another patient died of cerebral hemorrhage at 4 years after surgery. The symptom of bronchiectasis did not recur in 9 of the cases who survived. Conclusion: Synchronal surgery with esophagogastric anastomosis, lobectomy, or pulmonary segment resection can cure two diseases simultaneously, improving patients' quality of life and reducing the costs of surgery. This type of treatment is worthy of clinical application and generalization.