自1950年以来,胸骨后結腸代食管頸部食管——結腸吻合术逐漸增多。頸部吻合口瘻时常发生,国內和国外的文献中都有报导。平均5-7例中即可有一例发生吻合口瘓。过去我們也有吻合口瘻,在19例中有3例发生頸部吻合口瘻。为了避免或減少頸部吻合口瘓的发生,我們在食管癌病例胸骨后結腸代食管頸部食管——結腸吻合术中,作了某些操作技术上的改进。以后連續在16例中,无一例发生吻合口瘻。我們初步認为,这种改进的操作方法是可以減少吻合口瘻的。現将我們初步的几点經驗体会总結如下,希同道批評指正。一、頸部食管的准备 Since 1950, the esophageal-colon anastomosis in the sternal retro-colon was gradually increasing. Anastomotic fistulas often occur in the neck and are reported in domestic and foreign literature. An average of 5-7 cases can have anastomosis fistula. In the past, we also had anastomotic leakage. In the 19 cases, neck anastomosis occurred in 3 cases. In order to avoid or reduce the occurrence of anastomotic fistula in the neck, we have made some operational and technical improvements in esophageal-colic anastomosis in the esophageal neo-esophagus of the esophageal cancer case. After 16 consecutive cases, there was no case of anastomotic leakage. We initially believe that this improved method of operation can reduce the anastomotic leakage. Now we summarize some of our preliminary experiences and experiences as follows. First, the preparation of the neck esophagus