Abstract: Objective :To compare the effects on surgical methods of cervical esophageal carcinoma. Methods :Figty-two cases with cervical esophageal carcinoma treated in Head-neck Department and Chest Department of Henan Tumor Hospital, from 1993 to 2000, were reported. There were 39 males and 19 females, ranging from 39 to 71 years old. In the patients, 32 with cervical esophageal carcinoma had been treated by nonpen chest inverting avulsion operations, and 5 patients treated by chest tunnel separate operations and 15 patients treated by open cardiac esophagectomy. Results :No death occurred in operations, and all of the cases were squamous cell carcinoma. Postoperative complication rate was 23.1%. The follow-up data showed that three-years and five-years survival rate were 70.3% (26/37) and 48.1% (13/27) respectively for patients with nonpen-cardiac operationsand 66.7% (10/15) and 45.5% (5/11) for patients with openchest operations. There was no difference between the two groups (P>0.05). Conclusions :The effect of whole-esophagus resection under open chest or chest is similar and it, is a successful procedure for the primary disease in the pabents. In chest operation, it is more convenient for the patient a constant body position to fulfill cervical lymphadenectomy and upper-mediastinum lymphadenectomy.