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Postoperative quality of life and survival rate are influenced by the occurrence of problems. Furthermore, the perioperative complications are related to several aspects such as for example diligent aspects (advanced age, obesity and preoperative health condition), surgical aspects (surgical path, medical procedure, resection range and prophylactic multivisceral resection), tumor factors (dimensions, stage) etc. Optimizing perioperative management and formulating standardized surgical methods would be the tips to avoid postoperative complications of AEG. To conclude, we have to attempt to ensure the radical resection and reduce the event of postoperative problems to be able to truly benefit patients.The occurrence of adenocarcinoma of esophagogastric junction (AEG) is increasing in the last few years. Its analysis, lymph node metastasis and digestive system repair are typical distinct from those of top gastric disease. Because of the growth of the concept of purpose preserving surgery for gastric cancer tumors, the medical application of laparoscopic proximal gastrectomy in AEG is increasing. In this kind of procedure, in addition to ensuring sufficient radical remedy of cyst, the short-term smooth recovery and long-term well being of customers may also be essential. The repair of digestive system after proximal tummy procedure is of good importance. In accordance with the author's own working experience, in medical work, the writer chooses various surgical resection scope and digestive tract reconstruction techniques in accordance with Siewert classification of AEG. For Siewert Ⅱ AEG, laparoscopic PG is mostly utilized, and laparoscopic esophageal tubular gastric side-to-side anastomosis or dual channel anastomosis is mostly utilized for digestive tract repair. It's thought that with all the introduction of lasting follow-up outcomes therefore the igf1r signaling development of multicenter randomized controlled research, some questionable questions will be better answered. We must focus on the individual distinctions of customers. For different individuals, with the operator's experience, on the basis of making sure the radical cure of tumefaction, we have to adopt appropriate medical resection scope and digestive system reconstruction, in order to bring better long-lasting standard of living for patients.The lower mediastinal lymphadenectomy is indicated for adenocarcinoma of esophagogastric junction (AEG), whilst the laparoscopic procedure shows some advantages. Based on previous studies and outcomes of IDEAL phase 2a study within our institute, listed here frameworks are recommended since the dissection boundaries the upper (cranial) is inferior wall surface of pericardium and pulmonary ligament; the low (caudal) is diaphragm hiatus (esophagogastric junction); the front (ventral) is anterior substandard wall surface of pericardium and diaphragm; the rear (dorsal) is anterior wall surface of aorta; the lateral is mediastinal pleura. The standard of quality-control continues to be under investigation.The percentage of adenocarcinoma associated with the esophagogastric junction (AEG) in gastric disease is gradually increasing. As a result of the unique anatomical structure and biological traits of this cyst at this site, AEG has a particular level of complexity in lots of areas of diagnosis and treatment, which brings problems to your procedure technique, the choice regarding the resection range, the lymph node dissection together with therapy decision-making. Consequently, AEG has long been the main focus of academic debate. Aided by the development of minimally invasive surgery in the last few years, laparoscopic technology has been increasingly mature and trusted within the remedy for gastrointestinal tumors. Compared to distal gastric disease, the minimally unpleasant remedy for AEG is in a lagging state, and there's also a few conditions that haven't yet achieved a consensus. This article ratings and summarizes the present analysis progress in two aspects proximal gastrectomy for AEG and lymph node dissection. Laparoscopic-assisted proximal gastrectomy is safe for very early proximal gastric disease and it has a long-term success result maybe not inferior incomparison to complete gastrectomy, but the surgical indications needs to be purely chosen. Abdominal lymph node metastasis of AEG is primarily in team 1, 2, 3, and 7, and mediastinal lymph node metastasis is closely related to the length of the infiltrated esophagus. The stomach transhiatal (TH) strategy can buy an acceptable wide range of harvested lymph node, and it has good security and efficacy, which can be the first-choice of medical approach for very early AEG. The outcomes for the CLASS-10 medical trial provides a greater level of research for laparoscopic mediastinal lymph node dissection. Laparoscopic surgery for AEG must be done in experienced medical center centered on clinical research.a larger debate stays in medical analysis and remedy for Siewert kind II adenocarcinoma of esophagogastric junction (AEG), compared with Siewert kind we and III AEG. In 2018, the initial edition of Chinese Professional Consensus regarding the Surgical Treatment for Adenocarcinoma of Esophagogastric Junction had been published when you look at the Chinese Journal of Gastrointestinal operation.