食管中上颈段癌行食管癌根切颈部吻合术，约占食管癌手术的2／5，颈部吻合口三大并发症（吻合口瘘、狭窄及返流性食管炎）仍是最严重的并发症。尽管我们认识到：扩大颈部消毒范围，扩大颈部皮肤切口，充分游离食管使吻合满意，扩大弓下纵隔通道及胸廓人口通道，尽量减少胃壁受 Esophageal carcinoma of the upper cervical sulcus for cervical esophagectomy and cervical anastomosis, accounting for about 2/5 of esophageal cancer surgery, neck anaesthesia three major complications (anastomotic fistula, stenosis and reflux esophagitis) is still the most Serious complications. Although we recognize that: expanding the range of neck disinfection, expanding the skin incision in the neck, fully freeing the esophagus so that the anastomosis is satisfactory, expanding the submediastinal anastomosis channel and the thorax population access, to minimize the stomach wall