尽管食管癌的外科治疗成绩已有相当的进步,然而长期生存率仍低。颈段包括胸段食段癌在手术切除和重建食管时可能遇到各种困难,因此,外科医生必须着重选择最优的手术方案。本文介绍作者在过去23年间对62例颈段和40例颈胸段食管癌的治疗经验。本组102例中64例作了食管切除(占62.7%),其中男34例,女30例,平均年龄62.5岁。7例术后死亡,手术死亡率10.8%。术前均接受3000～6000rads的放疗。病理证实均为鳞形上皮癌。前8年有12例仅作颈部食管切除,而在以后的15年中,则作了52例的全食管切除术,其中29例为经胸切除食管, Although the surgical treatment of esophageal cancer has made considerable progress, the long-term survival rate is still low. The cervical segment, including thoracic segmental carcinoma, may encounter various difficulties in surgical resection and reconstruction of the esophagus. Therefore, the surgeon must focus on selecting the optimal surgical procedure. This article describes the author’s experience in the treatment of 62 cervical and 40 cervical and thoracic esophageal cancers during the past 23 years. Esophageal resection (62.7%) was performed in 64 of 102 patients in this group, including 34 males and 30 females, with an average age of 62.5 years. Seven patients died after surgery, and the surgical mortality rate was 10.8%. All patients received radiotherapy 3000 to 6000rads before surgery. Pathologically confirmed squamous epithelial cancer. In the first 8 years, 12 cases only had neck esophagectomy, and in the next 15 years, 52 cases of total esophagectomy were performed, of which 29 cases were transthoracic resection of the esophagus.