Technique discussion of surgical approach for Siewert type Ⅱ adenocarcinoma of esophagogastric junction under total laparoscopy or thoracoscopy
10.3760/cma.j.cn115610-20200527-00390
- VernacularTitle:全腔镜下Siewert Ⅱ型食管胃结合部腺癌手术径路技术要点解析
- Author:
Tianzhou LIU
1
;
Junyang WANG
;
Jingjing LIU
;
Zhiming MA
;
Xiaofang QIAO
;
Tong LIU
;
Chao CHEN
;
Jiaming ZHU
Author Information
1. 吉林大学第二医院胃肠外科，长春 130041
- From:Chinese Journal of Digestive Surgery
2020;19(6):615-619
- CountryChina
- Language:Chinese
-
Abstract:
Adenocarcinoma of esophagogastric junction (AEG) has attracted more attention in recent years. Surgical method of Siewert type Ⅱ AEG is especially controversial, mainly focusing on the scope of lymph node dissection, safety of surgical margin, and digestive tract reconstruction. The abdominal transhiatal approach and right thoracoabdominal Ivor-Lewis approach are the main surgical approaches of totally laparoscopic or thoracoscopic surgery for Siewert type Ⅱ AEG, which not only need close teamwork, but also require rich experience in laparoscopic surgery. The authors has started to choose these two totally minimally invasive surgical approaches, the feasibility and safety of which are proved. The key surgical details are presented in this article for reference.
