In esophageal carcinomas which are restricted to the cervical part of the esophagus and in which complete resection can be achieved by cervical esophagectomy, reconstruction with interposition of a free jejunal segment is the procedure of first choice. The resection is performed via a left cervical approach with an upper sternotomy. Advantages of this limited resection are a comparably minor operative trauma, the preservation of the thoracic esophagus and the stomach as well as the good postoperative swallowing function. The performance of this operation requires microsurgical skills. This is important to avoid the hazardous complication of a thrombosis of the venous or arterial microvascular anastomosis, resulting in a necrosis of the graft.

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1999
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