Abstract: There are a variety of surgical treatments of advanced esophagogastric junction cancer, type Ⅰ、Ⅱ mainly by transthoracic approach, part of the type Ⅱ by transabdominal approach, type Ⅲ mainly by left thoracoabdominal approach (LTA) or transabdominal. Intraoperative lymph node dissection is one of the most important factors which affect the postoperative survival rate. The cardia right lymph node (NO.1), the cardia left lymph node (NO.2), gastric lesser curvature (NO.3) and left gastric artery side (NO.7) should do regular cleaning.

Key words: Esophagogastric junction, Adenocarcinoma, Surgical procedures, operative, Lymph node excision