Reasonable option of surgical approach for adenocarcinoma of the esophagogastric junction        SUO Jian, WANG Da-guang, XIA Ming-jie. Department of General Surgery, the First Hospital of Jilin University, Changchun 130021, China
Correspongding author:SUO Jian,E-mail: suojian0066@yahoo.com.cn
Abstract    Compared with traditional esophageal and gastric cancer， adenocarcinoma of the esophagogastric junction （AEG） is quite different. The transthoracic or left thoraco-abdominal incision can only be used as the recommended surgical approach for type I AEG with mediastinal lymph node metastasis. For type Ⅱ/Ⅲ AEG with abdominal lymph node metastasis, the transthoracic and thoraco-abdominal approach can increase the operative risk, prolong hospitalization and can not improve long-term survival of patients compared with abdominal approach. For type Ⅱ/Ⅲ AEG with fewer mediastinal lymph node metastasis, abdominal approach is a reasonable surgical option.