根据食管癌的病理学和淋巴结转移规律 ,近年来 ,多数学者主张胸段食管癌均应行食管次全切除 ,颈部吻合食管重建术。颈部重建术吻合口瘘的发生率较胸内吻合瘘略高 ,其感染灶比较表浅局限 ,经引流换药治疗后多能在短期内愈合 ,很少危及生命。但是 ,一旦吻合口瘘入纵隔内 ,形成 According to the pathology of esophageal cancer and lymph node metastasis, in recent years, most scholars advocate thoracic esophageal cancer should be subtotal esophageal resection, cervical anastomosis esophageal reconstruction. The incidence of anastomotic leakage of neck reconstruction is slightly higher than that of anastomotic fistula. The superficial infection of the lesion is limited. After drainage and dressing change, it can heal in a short period of time and rarely threaten life. However, once the anastomotic fistula enters the mediastinum, it forms