Abstract: Objective: To summarize the effects of tubular anastomat in the digestive tract reconstruction of esophageal resection. Methods: The clinical data of 392 patients with esophageal cancer resection treated with esophagogastric side to side anastomosis using tubular anastomat wereretrospectively analyzed. Results: Anastomotic leakage in 2 cases( 0. 5%) were found， they cured after nutrition support， adequate drainage and anti-infection treatment. Anastomotic stricture in 7 cases ( 1. 7%) were found， they improved after esophagus expansion and stent implanting. Conclusions: The esophagogastric side to side anastomosis using instrument is effective and easy to operate.