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为了观察食管贲门癌术后吻合口瘘的发生情况和寻求减少食管贲门癌术后吻合口瘘发生率、病死率的措施，１０年来１４３例食管贲门癌手术中，近５年由于加强围手术期治疗，严格选择病例和重视手术操作，对食管胸中段以上癌肿手术选择胸内整段食管切除，在颈部食管胃吻合，比较前５年手术病例，吻合口瘘发生率由１５．８％下降至４．５％，吻合口瘘的病死率亦有下降趋势。因此，加强围手术期治疗，重视手术操作，选择颈部吻合是减少食管贲门癌术后吻合口瘘发生率和病死率的三个主要措施。
In order to observe the occurrence of anastomotic fistula after esophageal and cardiac cancer surgery and seek measures to reduce the incidence and mortality of anastomotic fistula after esophageal and cardiac cancer surgery, 143 cases of esophageal and cardia cancer surgery in the past 10 years have undergone intensive perioperative period in the past 5 years. Treatment, strict selection of cases and emphasis on surgical operation, selection of intrathoracic esophagectomy for esophageal and upper thoracic cancer surgery, esophagogastric anastomosis in the neck, comparison of surgical cases in the first 5 years, the incidence of anastomotic leakage was 15.8% Decline to 4.5%, the mortality rate of anastomotic fistula also decreased. Therefore, to strengthen the perioperative treatment, attach importance to surgical operation, the choice of cervical anastomosis is to reduce the incidence of esophageal cardiac cancer after surgery and mortality rate of the three main measures.