关键词: 食管异物；颈段食管；双侧贯穿性；颈横切开术

Abstract: Objective To explore the key points of surgical treatment of bilateral penetrated cervical esophageal foreign bodies,so as to improve the diagnosis and treatment of esophageal foreign bodies.Methods The clinical datas of 11 patients with bilateral penetrated cervical esophageal foreign bodies from January 2016 to April 2022 were analyzed retrospectively.Results All the patients were treated by transverse neck incision surgery,and gastroscope was placed for synchronous monitoring during operation,10 cases were removed through esophageal crevasse,and 1 case was pulled out from the mouth by the gastroscope.All the foreign bodies were removed smoothly,and all patients resumed eating through mouth,without obvious complications,and the wound healed in one-stage.Gastroscopy was reviewed 6 months after surgery,and esophageal stenosis was grade 0 (Stooler grading standard).Within the follow-up from 6 months to 2 years,all patients could eat normally.Conclusion Bilateral penetrating esophageal foreign body is a special type of difficult and high-risk esophageal foreign body.Based on the multi-disciplinary team(MDT),transverse neck incision suegery can fully expose the bilateral esophageal space at the same time,without blind area,the extraction of foreign body is safe,serious injury can be avoided.Thus,the technique is relatively minimally invasive and worthy of further promotion in the clinical practice in grassroots hospitals.

Key words: esophageal foreign body; cervical esophagus; bilateral penetrated; transverse neck incision surgery