Abstract: Objective The surgical treatment method that deals with the fistula of thoracic anastomo sis in early stage ( less than 72 hou rs)po st operat ion of esophageal and cardiac cancer w as summ arized and discu ssed. Methods 5 cases of in t ratho racic f istu lasw ere perfo rm ed the second tho ractom y to t reat the leakage of the gast ric t ract. Results In th is group of pat ien t s, 4 cases recovered and 1 case died becau se the comp li2 cat ion of resp irato ry failu re. Conclus ionW e concluded that the p romp t su rgical t reatm en t is needed fo r the f istu la of tho racic in early po stoperat ion of esophageal and cardiac cancer.