The strategic changes and thoughts of surgical approaches for adenocarcinoma of esophagogastric junction
10.3760/cma.j.issn.1673-9752.2019.06.002
- VernacularTitle:食管胃结合部腺癌手术径路治疗策略的变迁与思考
- Author:
Hui CAO
1
;
Enhao ZHAO
Author Information
1. 上海交通大学医学院附属仁济医院胃肠外科 200127
- Keywords:
Esophagogastric junction neoplasms;
Adenocarcinoma of esophagogastric;
Surgical procedures,operative;
Surgical approach;
Minially invasive surgery
- From:
Chinese Journal of Digestive Surgery
2019;18(6):518-522
- CountryChina
- Language:Chinese
-
Abstract:
Surgical approaches for adenocarcinoma of esophagogastric junction have become controversial issues in recent years,including complete resection of tumors,negative proximal margin,complete lymph node dissection,safety of digestive tract reconstruction and reduction of perioperative complications.JCOG9502 trial in Japan is a well-known clinical trial on the surgical approach for adenocarcinoma of esophagogastric junction,which provides evidence-based medicine results for the transabdominal or transthoracic approach.However,due to the differences between the left and right thoracic approaches,the choice of a reasonable surgical approach has also become the focus of discussion between eastern and western scholars.With the development of minimally invasive surgery,it is possible to perform the operations combining laparoscopy and thoracoscopy in the future.
