Abstract： Objective To explore the outcomes after surgical treatment of esophagogastric junction carcinoma (EGJC).Methods One hundred and eighty-five patients with EGJC undergoing surgery from October 2000 to September 2006 at the Cancer Hospital of Shantou University were reviewed retrospectively.The clinical outcomes were eompared between transthoracic and transabdominal approach.Results Of the 185 patients,133 underwent operation via transthoracie approach and 52 via transabdominal approach.The postoperative complication rates were 10.5％ ( 14/133 ) and 11.5％ (6/52)and the 1-,3-,5-year overall survival rates were 83.9％,44.5％,32.9％ and 86.0％,38.0％,30.0％in transthoracic and transabdominal groups respectively,and the difference were not statistically significant(both P＞0.05).Conclusion Surgical approach should be individualized for EGCJ.