食管贲门癌手术后吻合口瘘为严重的并发症，作者采用胸廓成形加带蒂肌瓣修补术，取得了满意效果。１８例病人修补后均未发生再瘘，亦未造成吻合口狭窄，该胸廓成形术后对患者的呼吸功能影响不大，未影响手术的远期疗效。认为本方法在治疗吻合口瘘时可以选择手术时机，修补效果优良可靠 Anastomotic leakage after esophageal and cardiac cancer surgery is a serious complication. The authors used thoracoplasty and pedicled muscle flap repair to achieve satisfactory results. No respasm occurred in 18 patients after repair, nor did they cause anastomotic stenosis. This thoracoplasty had little effect on the patient’s respiratory function and did not affect the long-term outcome of surgery. It is considered that this method can select the timing of surgery when treating anastomotic leakage, and the repair effect is excellent and reliable.