Thirty seven patients with thoracic esophageal carcinoma underwent esophagectomy combined with resection of respiratory tract. In 5 patients who received resection with the trachea or bronchus, 1 patient survived more than two years. His status of lymph node metastasis was n2 positive, and surgical margin was free of cancer. These findings show that negative surgical margin and certain lymph-adenectomy are required to obtain good prognosis. A half of 32 patients who received combined resection of the lung had no invasion into the lung tissue pathologically. Five-year survival rate of 32 patients was 22.9%. We concluded that combined resection of the lung was safe procedure and showed satisfactory outcome.