The stricture was caused by drinking sulphuric acid for the pourpose of suicide, and the perforation of oesophagus following the treatment of the dilating bougie was followed by pyothrax.
The construction of an artificial oesophagus was carried out after the healing of the pyothrax.
Jejunum was cutt 15 cm from its begining, and it was brought about 50 to 55cm through the subcutaneous tunnel, which was constructed before the sternum, to the neck, cutting the branch of the 4th mesenterial artery to prevent tension, and then anastomosed with the cervical oesophagus.
Then, the proximal end of the jejunum was anastomosed with the jejunum, which was used for oesophagus with end-to-side anastomose, following Roux-Y method. The thoracical oesophagus and stomach were isolated.
The reconstruction of the oesophagus was a success, but the complication of the lung made the lobectomy impracticable.
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