1976～1991年,我们对138例食管癌及贲门癌病人行食管切除术及转流术,无一例发生吻合口瘘。现结合文献资料,就食管手术后吻合口瘘的发生原因及其预防浅述如下。一、临床资料本组男117例,女21例;年龄36～74岁。食管癌104例,贲门癌34例,除5例属早期者外,其余均为中晚期。肿瘤切除后行食管胃吻合术127例,食管空肠吻合术3 From 1976 to 1991, we performed esophageal resection and bypass surgery on 138 patients with esophageal and cardiac cancers. No case of anastomotic leakage occurred. Combining with literature data, the causes and prevention of anastomotic leakage after esophageal surgery are briefly described below. First, clinical data The group of 117 males and 21 females; aged 36 to 74 years old. There were 104 cases of esophageal cancer and 34 cases of cardiac cancer. Except for 5 cases that were early, the others were middle and late. 127 cases of esophagogastric anastomosis after tumor resection, esophagojejunostomy 3