Abstract: Ivor-Lewis esophagectomy has been widely accepted as one of the important surgery for esophageal cancer. With the development of minimally invasive technology and demand of the time, endoscopy assisted Ivor-Lewis esophagectomy has been used by more and more surgeons, however, it has a higher technical difficulty and a lower operating speed. This article has summarized the current status of endoscopy assisted Ivor-Lewis esophagectomy, and analyzed the characteristics and existent problems of anastomosis methods.