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目的：解决食管癌术后胸内高位吻合口狭窄。方法：采用半哈状（Ｈｅｍｉｃｌａｍｓｈｅｌ）切口径路，显露胸顶部食管胃吻合区并游离，行吻合口狭窄成形治疗。结果：４例严重胸内高位吻合口狭窄均在直视下顺利完成手术，术后恢复顺利，无严重并发症，能正常进食。结论：该手术径路浅显，易于对接近胸顶部高位吻合区的显露，减少了经原剖胸切口需文泛分离粘连的较大创伤，行吻合口成形术亦甚方便。为胸内高位吻合口狭窄的手术治疗提供了新的方法。
Objective: To solve the high intrathoracic anastomotic stricture of esophageal cancer after operation. Methods: Hemiclamshel incision approach was used to expose the top of the thoracic esophagogastric anastomosis area and free the anastomotic stenosis. Results: All four cases of severe intrathoracic anastomotic strictures were successfully performed under direct vision. The postoperative recovery was successful without serious complications and normal eating. Conclusion: The surgical approach is simple and easy to be close to the top of the high anastomosis area of the chest exposed, reducing the original thoracotomy need to pan-traumatic separation of greater trauma, line anastomosis is also very convenient. It provides a new method for the surgical treatment of intrathoracic anastomotic stenosis.