We know that as esophageal cancer surgery, the most worried postoperative complication is anastomotic fistula, for the occurrence of anastomotic fistula, the incidence of many hospitals is very high, some doctors sign preoperatively, to the patient’s family to explain the condition, feel nine deaths, in fact, no matter how beautiful you tube stomach do, how advanced technology, and even thoracic and laparoscopic combined, but if the incidence of anastomotic fistula is very high, or even a high mortality rate of 30 days, that also is not desirable. Therefore, the incidence of anastomotic fistula should be taken as an important index to evaluate the good or bad surgical results of esophageal cancer. Through the review of esophageal cancer cases and appropriate treatment in the perioperative period, the incidence of anastomotic fistula can be controlled at about 2%.