To introduce the suture method of upper mediastinum in thoracoscopic radical resection of esophageal carcinoma, and to evaluate the feasibility and necessity of the technique.

A total of 248 patients undergoing thoracoscopic esophagectomy were retrospectively included in this study from Jul. 2015 to Jun. 2017 in Department of Cardithoracic Surgery of Northern Jiangsu People′s Hospital. 245 patients were underwent upper thoracoscopic mediastinal suture. Summarize and analyze the incidence of the intraoperative bleeding, volvulus of tubular stomach, postoperative complications.

2 cases of mediastinal hemorrhage, 2 cases of the margin of tubular stomach and 1 case of volvulus of tubular stomach were found while stitching the upper mediastinum. There was no reoperation because of bleeding after operation, and there was no dilatation of tubular stomach in the upper mediastinum. There were 2 cases of anastomotic leakage occurred in the thoracic cavity (both confined to the top of the chest).

The suture of the upper mediastinum can be successfully completed in thoracoscopic resection of esophageal cancer. By observing the chest cavity again, the incidence of postoperative bleeding, volvulus of tubular stomach, dilatation of the stomach and intrathoracic anastomotic leakage can be reduced.