我科自1988年6月以来应用食管中上段癌游离主动脉弓经弓后间隙食管重建方法施行食管中上段癌切除13例,随访效果满意。现将体会报告如下。1 临床资料 13例患者,男性9例,女性4例,年龄40～67岁,平均54岁。病变4～8cm,平均5.7cm。根治性切除10例,姑息性切除3例。食管重建采用上海手术器械六厂生产GF-I管型吻合器。胃经食管床弓上与食管吻合,其中1例术后并发吻合口瘘因及时发现再次进胸改颈部吻合。 Since June 1988, 13 cases of metastatic esophageal cancer have been treated with the esophageal reconstructive method through the posterior segment of the esophageal free aortic arch. The follow-up results were satisfactory. The experience report is as follows. 1 Clinical data 13 patients, 9 males and 4 females, aged 40 to 67 years, mean 54 years. Lesions 4-8cm, average 5.7cm. Radical resection in 10 cases, palliative resection in 3 cases. Esophageal reconstruction using Shanghai Surgical Instruments No. 6 plant produced GF-I tubular stapler. Stomach transesophageal arch and esophagus were anastomosed, and one of them was complicated by anastomotic leakage due to timely detection of reintroduction into the chest and anastomosis of the neck.