Siewert Ⅱ型食管胃结合部腺癌外科诊断与治疗策略
Diagnosis and surgical strategies for Siewert type Ⅱ adenocarcinoma of esophagogastric junction
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摘要:
Siewert Ⅱ型食管胃结合部腺癌(AEG)发病率逐年上升，外科治疗是其多学科综合治疗中最主要的治疗方式。由于其解剖部位、生物学行为的特殊性，AEG的外科治疗在手术径路的选择、手术切除范围和切缘安全的保证、淋巴结清扫的范围、根治术后消化道重建方式的选择、新辅助治疗在外科治疗中的作用仍存在较多争议，需更多的随机临床研究结果证实。笔者就目前存在争议的Siewert Ⅱ型AEG在微创时代的外科诊断与治疗策略进行阐述。
Abstract:The incidence of adenocarcinoma of esophagogastric junction (AEG) is increasing year by year. Surgical treatment is the most important treatment in the multidisciplinary comprehensive treatment. Because of the particularity of anatomy and biological behaliars, there are many disputes in surgical treatment. It mainly focuses on the choice of surgical approach, scope of surgical resection and guarantee of the safety of surgical margin, scope of lymph node dissection, choice of digestive tract reconstruction after radical operation, role of neoadjuvant treatment in surgical treatment, etc, which need to be confirmed through more randomized clinical studies. The authors discuss the disputes of the surgical diagnosis and treatment strategies of Siewert Ⅱ AEG in the era of minimally invasive surgery.
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