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本文报告了颈段食管癌91例外科治疗的经验，手术方式以食管内翻剥脱、全食管切除的方法最好，将胃或结肠从食管床上提到颈部。根据病变上缘的位置决定是否保留候。T3、T1病变占绝大多数，本组为81例（占89％）。以术前放疗加手术的治疗方式疗效最好，3年生存率54．3％，5年生存率51．6％，优于单纯手术及单纯放疗。本组病例术后下颈部及锁骨上复发17例，占18．6％，纵隔淋巴结转移2例，占2．2％。术前放疗皮包括颈部淋巴结，而且手术时应根据情况考虑颈部淋巴结清扫及纵隔淋巴结清扫，以提高治愈率。
This article reports the experience of surgical treatment of 91 patients with cervical esophageal cancer. The surgical approach is best performed with esophageal valgus peeling and total esophageal resection. The stomach or colon is referred to the neck from the esophagus bed. According to the location of the upper edge of the lesion to decide whether to keep waiting. T3, T1 lesions accounted for the vast majority, the group of 81 cases (89%). The preoperative radiotherapy plus surgical treatment had the best effect, with a 3-year survival rate of 54.3% and a 5-year survival rate of 51.6%. It was superior to surgery alone and radiotherapy alone. In this group of patients, there were 17 cases of recurrence of lower neck and supraclavicular, accounting for 18.6%, and 2 cases of mediastinal lymph node metastasis, accounting for 2.2%. Preoperative radiotherapy skin includes cervical lymph nodes, and cervical lymph node dissection and mediastinal lymph node dissection should be considered during the operation to improve the cure rate.