施行食管癌切除、食管床全胃移植颈部吻合术３３５例，其中３１０例采用颈胸双切口。本术式优点为：①切除病灶广泛，残端阳性率低；②手术操作方便，创伤少，可减少手术污染；③全胃移植经食管床径路最短，较符合正常的生理解剖，术后对心肺功能的影响小；④一旦发生吻合口瘘，可在短期内治愈。还提出了本术式应当注意的几个问题。 There were 335 cases of esophageal cancer resection and total neck anastomosis of esophagogastric transplantation. Among them, 310 cases had double neck and chest incisions. The advantages of this surgical procedure are: 1 extensive resection of lesions, low stump-positive rate; 2 surgical operation, less trauma, can reduce surgical contamination; 3 the shortest path of total gastric bypass transesophageal bed, more consistent with the normal physiological anatomy, postoperative The effect of cardiopulmonary function is small; 4 Once an anastomotic leakage occurs, it can be cured in a short time. Several issues that should be noted in this surgical technique have also been proposed.