Objective To evaluate the efficacy and safety of lobaplatin plus S-1 for patients with advanced e-sophageal carcinoma. Methods Thirty-two patients with advanced esophageal carcinoma received lobaplatin plus S-1 chemotherapy. Results Of the 32 patients,CR was observed in the 1 patient,PR in the 9 patients,SD in the 10 patients,PD in the 12 patients,the overall response rate was 31. 25% ,and the disease control rate was 62. 50% . The main toxicities were marrow depression,the incidence of grade Ⅲ and Ⅳ neutropenia was 43. 75% ,that of grade Ⅲ and Ⅳ thrombocytopenia was 21. 88% ,that of grade Ⅲ and Ⅳ anemia was 9. 38% . Conclusion Loba-platin plus S-1 chemotherapy is effect and safe for patients with advanced esophageal carcinoma.