例1,患者男,62岁。因吞咽困难半年加重1月入院。入院前半年出现吞咽困难、呛咳、咽痛。查体:一般情况可,消瘦,间接喉镜下右侧梨状窝可见菜花样肿物,累及梨状窝内、外、后壁,双侧声带活动度好,上消化道纤维内窥镜检查示上段食管癌,病理报告为上段食管高分化鳞状细胞癌。于同年2月24日全麻下行下咽、全喉、食管颈段及左甲状腺切除术,游离横结 Case 1, patient male, 62 years old. Difficulties in swallowing were aggravated in January and admitted to hospital in January. Dysphagia, cough, and sore throat occurred during the first half of admission. Physical examination: Normal condition, weight loss, cauliflower-like mass visible on the right pear-shaped indirect laryngoscope, involving the inner, outer and posterior walls of the pear-shaped fossa, bilateral vocal cord activity, and upper gastrointestinal tract endoscopy The upper esophageal cancer was shown as pathologically well-differentiated squamous cell carcinoma of the upper esophagus. On February 24 of the same year, hypopharyngeal, total laryngeal, esophageal neck, and left thyroidectomy were performed under general anesthesia.