Can the patient survive if the esophagus and trachea are cut at the same time? This 50-year-old patient from Shenyang, Liaoning Province, felt difficulty in eating and gradually worsened more than a month ago, and was diagnosed with multiple esophageal cancers and invasion of trachea in several local hospitals, which local doctors dared not operate due to high risk and difficulty of surgery. Through examination, it was found that there were two tumor tissues in his upper and lower esophagus, among which the tumor in the upper neck had invaded the trachea and could still be separated from the surrounding neurovascular, but no tumor metastasis was found in other parts of the body, if radiotherapy or chemotherapy was done, due to the invasion of the tumor into the trachea, it would most likely cause the rupture of the esophagus and trachea and endanger the patient’s life, and surgery was the only effective means to save the life. After careful preparation, the patient underwent surgery on June 30. When exploring the tumor site and judging the possibility of resection, it was found that the tumor invasion of esophagus and trachea was located at the entrance of the thorax, which was densely packed with blood vessels and nerves, and it was very difficult to reveal the tumor, but there was also the possibility of surgical separation. It was decided to remove them surgically. In this way, the patient’s esophagus was completely cut off and the trachea was also partially removed, and two life passages of esophagus and trachea needed to be reconstructed. First, the whole digestive tract was recreated using a good abdominal free stomach and esophageal inlet phase sutured together to solve the problem of eating. Since there was no good artificial replacement for the trachea, the two ends of the severed trachea had to be sutured together to maintain respiratory flow. However, the shortened trachea after removal of the tumor significantly stretched the suture, which was not conducive to healing. To reduce the risk of non-healing, the patient’s trachea was first freed from the peri-pulmonary tissue to reduce the traction, and then the jaw was fixed to the chest wall to control the patient’s tracheal movement for a short period of time to facilitate the growth of the sutures, and the patient could return to normal after 2 to 3 weeks.