食管癌切除术后吻合区瘘(食管胃吻合口瘘,胃壁坏死穿孔及结肠代食管颈部吻合口瘘)是较严重的并发症,也是术后死亡的主要原因之一。据国内文献统计,其发生率为2.6～6.4％,死亡率为38.1％～53.6％。过去对这些瘘的治疗多偏重于保守,近几年来,亦有持积极态度者,主张再次手术进行修补或高位食竹、胃吻合口重建术。有的虽获得成功,但总的结果仍然 Anastomotic fistula (esophagogastrostomy fistula, gastric wall necrosis perforation and colonic esophageal neck anastomotic fistula) after esophageal cancer resection is a serious complication and one of the main causes of postoperative death. According to domestic literature statistics, the incidence rate was 2.6 to 6.4% and the mortality rate was 38.1% to 53.6%. In the past, the treatment of these warts was mostly conservative. In recent years, there have been positive attitudes and advocated reoperation to repair or reconstruct the high food bamboo or gastric anastomosis. Some have succeeded, but the overall result is still