Replacing the esophagus with the colon is a difficult operation in itself, but in a patient who had undergone “esophageal cancer resection and gastroesophageal aortic arch anastomosis”, it is even more difficult to perform this operation again. On the 7th day after the operation, the patient was able to eat, look rosy, walk freely, and is now in recovery. This 48-year-old patient from Inner Mongolia had a major surgery for esophageal cancer a year ago, resulting in a migration of the stomach from the abdominal cavity into the chest cavity. In October last year, he had blood in his stool and came to the Department of Thoracic Surgery of 307 Hospital for treatment at the end of November, and was diagnosed as “ulcerated gastric cancer in the body of the stomach”, which required surgery. During the open exploration, it was found that the patient had already undergone a major operation, the thoracic and abdominal cavities were closely adhered, and the right vessels of the gastric omentum could not be separated. So it was decided to do a full gastroesophageal resection with colon instead of esophagus. He first freed the transverse colon bit by bit and preserved the artery in the colon, then made another incision in the neck, made a small “tunnel” behind the sternum, passed the colon through the “tunnel” to the neck, and then slowly freed the cervical esophagus. After removing these obstacles, the separated esophagus is connected to the pulled-up colon, and the lower end of the colon is closely anastomosed with the duodenum, then the remaining colon is sutured together, and finally the incisions in the neck and abdomen are sutured together. After this series of complicated “procedures”, in order to completely remove the remaining esophagus and the stomach with tumor, the patient was repositioned and the chest was opened from the left side, and because the patient was operated for the second time, the lung, esophagus, mediastinum and descending aorta were widely adhered, and the regenerated blood vessels were as intricate and dangerous as vines coiled on a tree, which made this operation extremely difficult. The operation was extremely difficult. After fighting for nearly 19 hours, the remnants of the stomach and esophagus were finally removed with tenacity and skillful “knife work”.