Exploration of the application of transabdominal hiatal high esophageal transection and anas-tomosis in the radical resection of adenocarcinoma of esophagogastric junction
10.3760/cma.j.cn115610-20250911-00577
- VernacularTitle:食管胃结合部腺癌根治术中经腹食管裂孔食管高位离断吻合术的应用探讨
- Author:
Jiaming ZHU
1
;
Jingxu SUN
1
;
Xin WANG
1
;
Pengtao GUO
1
;
Di NA
1
Author Information
1. 中国医科大学附属第一医院胃肠肿瘤外科 胃肠肿瘤精准诊疗教育部重点实验室,沈阳110001
- Publication Type:Journal Article
- Keywords:
Adenocarcinoma of esophagogastric junction;
High esophageal transection and anastomosis;
Transabdominal hiatal approach;
Digestive tract reconstruc-tion
- From:
Chinese Journal of Digestive Surgery
2025;24(10):1253-1258
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of adenocarcinoma of esophagogastric junction (AEG) has been increasing annually. Due to its unique anatomical location and functional characteristics, the surgical operating space is limited, and the procedure is technically challenging, leading to a relatively high rate of intraoperative and postoperative complications. These issues are particularly pronounced in cases involving higher esophageal invasion. In recent years, with the advancement and maturation of laparoscopic techniques, the procedure of transabdominal hiatal high esophageal transection and anastomosis has been further refined and optimized. This has enabled gastrointestinal surgeons to perform the operation more smoothly, reduce operative time, and decrease the incidence of related complications. By reviewing relevant literatures and summarizing the operational experience of our team, the authors discuss the application value of transabdominal hiatal high esophageal transection and anastomosis in the radical resection of AEG, aiming to improve the success rate of surgery and reduce the incidence of complications.