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〔目的］评估食管中段癌经右胸、颈、上腹三切口切除后胃经胸骨后隧道与颈部残留食管吻合术的实用价值。（方法）将病变长度大于5cm的食管中段癌16例，右侧进胸将购段食管及区域淋巴结切除后，进腹游离胃并清除胃周淋巴结，将胃经胸骨后隧道上提至颈部与颈段残留食管吻合，然后再清扫下颈部淋巴结。（结果）16例中，10例行根治性切除，其余6例为姑息性切除；吻合口瘘发生率为37.5％，但均经恰当的引流后治愈；无心肺并发症发生。（结论）“三切口”术式切除食管中段癌符合肿瘤外科的治疗原则，而食管中段癌切除后胸胃经胸骨后上提至颈部与颈段残留食管吻合是可行的，对中晚期食管中段癌估计术后需辅助性放疗的病例可选择此术式。
[Objective] To evaluate the practical value of transesophageal tunnel and residual esophageal anastomosis in the middle segment of esophagus after right thoracic, cervical and epigastric abdominal incisions. (Method) Sixteen cases of esophageal cancer with a lesion length greater than 5 cm were removed from the esophagus and regional lymph nodes on the right side of the esophagus. Then, the stomach was removed from the abdomen and the peristomal lymph nodes were removed, and the stomach was passed through the back of the sternum to the neck. Anastomosed to the residual esophagus in the neck and then cleaned of lymph nodes in the lower neck. (Results) Of the 16 cases, 10 underwent radical resection and the remaining 6 cases were palliative. The incidence of anastomotic leakage was 37.5%, but all were cured after proper drainage; no cardiopulmonary complications occurred. (Conclusion) “Three-incision” resection of the esophageal midline carcinoma is consistent with the principle of surgical treatment of the esophagus, and the resection of the middle esophagus after thoracic stomach transsternal uplift to the neck and cervical residual esophageal anastomosis is feasible, the middle and late esophagus This procedure can be selected for patients who need adjuvant radiotherapy after the middle stage cancer is estimated.