Analysis of the clinical confusion and controversy of esophagogastric junction tumor from basic anatomy
10.3760/cma.j.cn112139-20210204-00066
- VernacularTitle:回归基础解剖探索食管胃结合部肿瘤外科治疗的困惑与争议
- Author:
Kai TAO
1
;
Yipeng REN
;
Linjie LI
;
Fei GAO
;
Yi WANG
;
Qingxing HUANG
;
Jianhong DONG
;
Dong WANG
;
Zhongtao ZHANG
Author Information
1. 山西省肿瘤医院 山西医科大学附属肿瘤医院消化微创外科，太原 030013
- Keywords:
Esophagogastric junction;
Anatomy, regional;
Esophageal neoplasms;
Stomach neoplasms;
Gastrectomy
- From:
Chinese Journal of Surgery
2021;59(5):324-327
- CountryChina
- Language:Chinese
-
Abstract:
There are still many controversies in the surgical treatment of esophagogastric junction tumors in terms of surgical approach, cleaning range, and resection scope. The reason is the confusion about the scope of the esophagogastric junction. The previous domestic and foreign anatomy descriptions of this part are not enough to solve the current problems. Based on a large number of basic anatomy and clinical operations, this article proposes that the esophagogastric junction may be wrapped by a complete and separate esophagogastric junction membrane with independent anatomy other than infracardiac bursa. The structure of the transitional tissue, mainly from the distribution of submucosal veins, explained the relationship and significance of tissue transitional changes and clinical operations, and made a reasonable analysis of the current controversy based on the anatomical characteristics, which is worthy of further investigation.
