全食管与下咽部替代术的合并症与死亡率均较高。应用局部皮片分期重建咽部或用皮移植一期重建均不满意,主要有两种理由:1.重建完成前局部常常复发,2.形成瘘与狭窄的百分率比较高。胃引拔术是将原有食管切除并加以重建,食管切除以手指钝剥离避免开胸与胸膜损伤。手术 The complications and mortality of the replacement of total esophagus and hypopharynx were higher. The use of local skin flaps to reconstruct the pharynx stage by stage or the first stage of skin graft reconstruction is not satisfactory. There are two main reasons: 1. The local recurrence often occurs before the completion of reconstruction, 2. The percentage of nevus and stenosis is relatively high. Stomach extraction is the removal of the original esophagus and reconstruction, esophagectomy with finger blunt dissection to avoid thoracotomy and pleural injury. surgery