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食管癌切除、食管重建为一创伤较大的手术，仍面临一些严重并发症问题，更未杜绝死亡。该文回顾手术治疗食管癌患者３５６例，男性３０８例，女性４８例，年龄３１～８２岁。临床病理分期：０期６例，Ⅰ期３２例，Ⅱ期１４８例，Ⅲ期１７０例。病变位于上段８例，中段２１０例，下段１３８例，所有病例均取胃行食管重建术。其中行颈部吻合２９例，主动脉弓上吻合２５７例，弓下吻合６８例。术后发生严重并发症３５例，占统计病例的９．３％。其中呼吸衰竭１１例，吻合口瘘１３例，颈部３例，胸内１０例，乳糜胸５例，心脏并发症４例，胃穿孔２例。死亡１０例，占统计病例２．８％。分析统计资料可见：６０岁以上年龄组呼吸衰竭发生率明显高于５９岁以下年龄组。呼吸衰竭、吻合瘘大都发生在Ⅱ～Ⅲ期病例，且Ⅲ期高于Ⅱ期，组间比较差异显著（Ｐ＜０．０５）。该组资料还提示，吻合口瘘、心脏并发症、乳糜胸、胃穿孔并发症与病变部位关系密切、组间比较有显著差异（Ｐ＜０．０５）。作者认为，食管癌术后严重并发症一旦发生，常危及生命，需要采取积极有效抢救措施。该文还对食管癌术后严重并发症及因素进行了讨论。
Esophageal cancer resection and esophageal reconstructive surgery are more traumatic operations and still face some serious complications, even without killing them. This article reviews 356 patients undergoing surgical treatment of esophageal cancer, 308 males and 48 females, aged 31-82 years. Clinical pathological stage: 0 in 6 cases, 32 in stage I, 148 in stage II, and 170 in stage III. Eight lesions were located in the upper segment, 210 in the middle segment, and 138 in the lower segment. All patients underwent gastric esophageal reconstruction. There were 29 cases of cervical anastomosis, 257 anastomosis on the aortic arch, and 68 anastomosis under the arch. Serious complications occurred in 35 cases, accounting for 9.3% of the statistical cases. There were 11 cases of respiratory failure, 13 cases of anastomotic leakage, 3 cases of neck, 10 cases of chest, 5 cases of chylothorax, 4 cases of cardiac complications and 2 cases of gastric perforation. There were 10 deaths, accounting for 2.8% of the statistical cases. Analysis of statistical data shows that: The incidence of respiratory failure in the age group over 60 years is significantly higher than the age group under the age of 59. Respiratory failure and anastomosed invagination occurred in stage II-III cases, and stage III was higher than stage II. There was a significant difference between groups (P<0.05). This group of data also suggested that the complications of anastomotic leakage, cardiac complications, chylothorax, and gastric perforation were closely related to the site of the lesion and there was a significant difference between groups (P<0.05). The author believes that serious complications of esophageal cancer after surgery, often life-threatening, need to take active and effective rescue measures. This article also discusses the serious postoperative complications and factors of esophageal cancer.