Abstract: Objective To explore the advantages of continuous suture for gastric tube in endoscopic esophagectomy in shortening the operation time and reducing the postoperative drainage fluid，and to evaluate the effectiveness and safety of the suture method.
Methods 70 patients with endoscopic esophagectomy from January 2017 and July 2017 in our hospital for treatment were divided into two groups.35 patients with continuous suture for gastric tube were control group，thirty-five patients with interrupted suture for gastric tube were observation.The effect and postoperative complications were compared and analyzed between the two groups.
Results All of the patients were successfully operated.The time of making gastric tube in control group[(9.17±1.51)min] was reduced compared with the observation group[(17.40±1.14)min，P＜0.05].Meanwhile，the control group had an advantage over the observation group in the operative time[(162.60±8.61)min,(165.51±7.82)min，P＞0.05] and the postoperative drainage fluid[(175.43±70.89)ml，(216.57±94.15)ml，P＜0.05].However，there were no significant differences in length and width of the gastric tube，the intraoperative blood loss，gastric juice on the first postoperative day，gastric juice color change time on the postoperative，chylothorax，hoarseness，lung infection,anastomotic fistula and hospitalization time after surgery(P＞0.05).
Conclusion The application of continuous suture for endoscopic esophageal carcinoma of gastric tube can decrease the time of making tubular stomach and surgery，and the duration of thoracic on the first postoperative day.It is safe and feasible for suture of gastric tube.

Key words: esophageal carcinoma, suture, endoscopic surgery, tubular stomach