患者男,50岁。因上段食管癌在静脉复合麻醉下行经胸、腹、颈三切口食管癌根治术。术中见癌肿位于主动脉弓水平处,与周围组织浸润较重,分离切除后出血较多,自肿块下切断食管,两端段分别送入颈腹部。 Male patient, 50 years old. Due to the esophageal cancer in the upper segment of the intravenous anesthesia through the chest, abdomen, neck incision esophagectomy. In the operation, the cancer was located at the level of the aortic arch, and was heavily infiltrated with the surrounding tissue. After the separation and resection, the bleeding was more severe. The esophagus was severed from the bottom of the aneurysm, and both ends were sent to the neck and abdomen respectively.