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为改进食管癌的手术操作技术，降低残端癌的发生率，提高近期手术治疗效果。方法：我院胸外科自１９９２年１月～１９９７年５月共完成全胸段食管切除。经食管床颈部吻合食管重建术８３１例。结果：本组手术死亡率１．８％（１５／８３１）；断端癌发生率１．４％（１２／８３１）；术后并发症发生率２１．８％（１８１／８３１），其中颈部吻合口瘘的发生率６．０％（５０／８３１）．全部病例中１８４倒采用了带蒂舌骨下肌群肌瓣覆盖吻合口术，颈部瘘的发生率降至１．１％（２／１８４）。结论：进一步证明了增加食管癌患者食管切除长度和彻底清除颈、胸、腹各组区域淋巴结的重要性，同时提出了几项预防颈部瘘的有力措施。
To improve the surgical technique of esophageal cancer, reduce the incidence of stump cancer and improve the effectiveness of recent surgical treatment. Methods: Total thoracic esophageal resection was performed in our hospital from January 1992 to May 1997. Transesophageal neck and neck anastomosis reconstruction of 831 cases. Results: The operative mortality was 1.8% (15/831) in this group; the incidence of stump cancer was 1.4% (12/831); the postoperative complication rate was 21.8% (181/831). The incidence of anastomotic leakage was 6.0% (50/831). In all cases, 184 pedicled pedicled subhypoglossal muscle flaps were used to cover the anastomosis. The incidence of cervical hernia was reduced to 1.1% (2/184). Conclusions: The importance of increasing the length of esophageal resection in patients with esophageal cancer and the thorough removal of lymph nodes in the cervical, thoracic, and abdominal groups was further demonstrated, and several effective measures to prevent cervical spasm were proposed.