Abdominal surgery for adenocarcinoma of esophgogastric junction
10.3760/cma.j.cn115396-20200717-00235
- VernacularTitle:食管胃结合部腺癌手术的腹部外科观
- Author:
Yinkui WANG
1
;
Ziyu LI
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所，胃肠肿瘤中心一病区，恶性肿瘤发病机制及转化研究教育部重点实验室 100142
- From:
International Journal of Surgery
2020;47(8):510-513
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, the adenocarcinoma of esophagogastric junction(AEG) has become an academic hot spot. Due to the requirements of resection margin, lymph node dissection, and digestive tract reconstruction, appropriate operation pathways of Siewert Ⅱ/Ⅲ type of AEG are still on the consensus. The abdominal-transhiatal approach (TH) to treat AEG is characterized by less injury, convenient abdominal lymph nodes dissection, but limited space for mediastinal lymph nodes dissection and digestive tract reconstruction. Taken the current clinical research evidence and domestic clinical application status, it is more appropriate to choose the TH approach for the Siewert Ⅱ/Ⅲ AEG patients whose esophageal was involved less than 2cm. On this basis, relevant clinical studies are still needed to be well designed and carried out to obtain more evidence andpromote the precision medicine of AEG.
