Fig. 5
![Fig. 5](http://media.springernature.com/full/springer-static/image/art%3A10.1186%2Fs40792-017-0368-1/MediaObjects/40792_2017_368_Fig5_HTML.gif)
Schematic illustrations of the two-stage operation. a Subtotal esophagectomy was performed in the first stage operation with the combination of transcervical and transhiatal approaches. Dashed arrow, cervical skin incision; double lines, oral and anal margins of the esophagectomy; black dot, the location of the esophageal perforation. b Status after the first stage operation. Cervical esophagostomy was placed in the left side of the patient’s neck and a 19-Fr drainage tube (dotted thick line) was placed via the left side of the patient’s neck into the upper mediastinum. c Status after the second stage operation. Gastric conduit was lifted via a subcutaneous route, and an esophago-gastric anastomosis was performed. A 19-Fr drainage tube (dotted thick line) was placed behind the anastomosis via the left side of the patient’s neck