From 'fight alone' to 'win-win cooperation': current status and prospect of role of the multi-disciplinary team in the diagnosis and treatment for adenocarcinoma of esophagogastric junction

VernacularTitle:从“单打独斗”到“合作共赢”：论多学科团队在食管胃结合部腺癌诊治中的现状和展望
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: Esophageal neoplasms; Gastric neoplasms; Adenocarcinoma of esophago-gastric junction; Surgical procedures, operative; Multidisciplinary team; Neoadjuvant t
From: Chinese Journal of Digestive Surgery 2021;20(6):617-624
CountryChina
Language:Chinese
Abstract: Due to the unique position and biological behaviors of adenocarcinoma of esophagogastric junction (AEG), the pattern of treatment has gradually changed from surgery alone leading by surgeons to comprehensive treatment by multidisciplinary teams including thoracic surgeons, oncologists, radiotherapy physicians, anesthetists and so on. The development of laparoscopic surgery makes the jointed operation possible by laparoscopy and thoracoscopy. The concept of enhanced recovery after surgery could further promote minimally invasive surgery in AEG. Meanwhile, with the continuous innovation of neoadjuvant chemotherapy, popularization of neoadjuvant radiotherapy and bold attempt of targeted therapy and immunotherapy, the resection rate, pathologic release rate and long-term survival of AEG have already achieved inspiring effects.