The indication and efficacy evaluation of combined multiple organ resections in treating patients with adenocarcinoma of the esophagogastric junction        SHI Ying-qiang. Department of Stomach and Soft Tissue Sarcoma Surgery, Shanghai Cancer Center, Fudan University, Shanghai 200032, China
Abstract    Adenocarcinoma of the esophagogastric junction （AEG）, in terms of pathogenesis or biological characteristic, is different from esophageal cancer and gastric cancer. Whether need to perform combined multiple organ resections, especially splenectomy, should be considered when treating patients with AEG by surgery. However, there are some controversies about the postoperative survival rate of such patients performed splenectomy. Therefore, when treating such patients by surgery, different types of tumors should be ascertained and difficulty level of surgery should be considered. Furthermore, the relation of primary cancer and spleen as well as status of splenic hilus lymph node should be evaluated comprehensively. Thereafter, it is proper to decide whether combined splenectomy should be performed.