自1988年4月至1989年4月,我们对16例主动脉弓后食管癌行主动脉弓游离翻转术,切除13例,切除率81％,根治性切除8例,姑息性5例。我们认为:本方法具有术野暴露清楚、能在直视状态下分离肿瘤与周围组织的较重粘连、处理术中意外、扩大肿瘤切除范围、提高切除率等优点。本文详细介绍了其操作方法,注意事项,优点及适应症。 From April 1988 to April 1989, we conducted aortic arch dissection in 16 cases of aortic arch esophageal cancer. 13 cases were resected. The resection rate was 81%, radical resection in 8 cases, and palliative in 5 cases. We believe that this method has the advantages of clear surgical field exposure, ability to separate heavier adhesions of tumors and surrounding tissues under direct vision, treatment of accidents during surgery, expansion of tumor resection range, and increased resection rate. This article describes in detail its method of operation, precautions, advantages and indications.