Objective:To investigate the effect of different operations for cardia carcinoma on the postoperative anastomotic stoma complications.Methods :Between December, 2000 and May, 2007,the clinical data 156 patients with carcinoma of gastric cardia who received different operations were analyzed retrospectively.Results:The thoracoabdominal incision was performed in 57 cases, abdominal incision in 68 and left thoracic incision in 31 cases.The occurrence rate of anastomotic stoma complications in the patients with thoracoabdominal,abdominal and left thoracic incision was 7.0%(4/57)，7.4%(5/68)，and 12.9%(4/31), respectively.The occurrence rate of anastomotic stoma complications in the patients using 25 mm endend autosuture was 4.2％(4/95), in using of the 28mm autosuture group was 16.1% (P=0.0102).Conclusions:The occurrence rate of anastomotic stoma complications can be reduced by choosing correct operation methods and using autosuture correctly.