食管贲门癌术后围手术期的胸胃穿孔已逐渐被人们认识[1,2]。发生在围手术期外的胸胃穿孔少见,我们遇到的2例分别发生在术后55ｄ和42ｄ,1例直接穿通胸壁,口服美蓝证实;另1例经胃镜证实,现报告如下。临床资料例1,男,69岁。1994年8月经左胸行胸下段食管癌切除、食管胃弓上吻合术, Perioperative thoracic gastric perforation after esophageal and cardiac cancer surgery has been gradually recognized [1,2]. Perioperation outside the thoracic stomach perforation is rare, we encountered two cases occurred in 55d and 42d after surgery, 1 case directly through the chest wall, oral methylene blue confirmed; another case confirmed by gastroscopy, the report is as follows. Clinical data Example 1, male, 69 years old. In August 1994, he had undergone resection of esophageal cancer and esophageal and gastric bowel anastomosis through the lower chest.