目前,食管-胃结合部腺癌(AEG)作为一类不同于食管癌和胃癌的独立疾病的临床观点已为多数学者所接受。然而,有关AEG根治术的手术径路、食管胃切除范围、淋巴结清扫范围等问题仍存在争议。临床上应综合病人全身情况、AEG类型、食管浸润范围、cTNM分期、术者的经验和技术条件等因素,平衡手术的安全性和彻底性,选择合理的个体化根治手术方案。 Currently, the clinical opinion of esophageal-gastric junctional adenocarcinoma (AEG) as an independent disease different from esophageal and gastric cancer has been accepted by most scholars. However, there are still controversial issues regarding the surgical approach to AEG, the scope of esophageal resection, and the extent of lymph node dissection. Clinic should be integrated with the patient’s general condition, AEG type, esophageal infiltration range, cTNM staging, the surgeon’s experience and technical conditions and other factors, balance the safety and thoroughness of surgery, choose a reasonable individualized radical operation plan.