本文旨在介绍用显微血管移植术于咽及颈段食管重建的经验。手术分两组进行,一组负责切除肿瘤,另一组负责截取空肠并完成显微血管手术。显微血管手术组,最少需有2人在显微血管手术方面富有经验者,一人管动脉,另一人管静脉,以消除疲劳。当切除肿瘤时,重要的是找寻合适的动脉与静脉。若患者以前曾作过一侧颈部清扫术,通常在对侧较易发现合适的血管。从颈动脉分叉处开 This article aims to introduce the use of microvascular transplantation in pharyngeal and cervical esophageal reconstruction experience. Surgery was divided into two groups, one for tumor removal, the other for jejunum interception and microvascular surgery. Microvascular surgery group, at least 2 people have experience in microvascular surgery, one of the artery, another vein, to eliminate fatigue. When removing the tumor, it is important to find the right artery and vein. If the patient has had a previous neck dissection, it is usually easier to find the appropriate blood vessel on the contralateral side. From the bifurcation of the carotid artery