腹腔镜食管胃结合部腺癌手术策略

Laparoscopic surgery strategies for adenocarcinoma of the esophagogastric junction

  • 摘要: 全世界食管胃结合部腺癌(AEG)的发病率呈现上升趋势。以手术为主的综合治疗目前是AEG治疗的总体策略。腹腔镜手术作为微创治疗手段之一已逐步应用于AEG的治疗。由于AEG的解剖学和病理学等方面的特殊性,腹腔镜AEG根治术仍然有诸多难点和争议之处。目前对全腹腔镜AEG手术的淋巴结清扫范围、胃切除范围及消化道重建方式的选择缺乏高级别研究证据,全腹腔镜AEG治疗策略尚未达成共识。笔者结合本中心近几年来开展腹腔镜AEG手术的经验、最新的治疗指南和相关文献,阐述AEG腹腔镜治疗策略,供广大同道探讨。

     

    Abstract: The incidence of adenocarcinoma of the esophagogastric junction (AEG) has been raised in recently years. Comprehensive treatment based on surgical treatment is currently a general strategy for the treatment of AEG. As a minimally invasive treatment, laparoscopic surgery has been gradually applied to the treatment of AEG. Because of the particularity of the anatomy and pathology of AEG, laparoscopic radical resection still has many difficulties and controversies. Up to now, there are a few high-level evidences for the range of lymph node dissection and gastrectomy and the selection of digestive tract reconstruction,and the treatment strategy of total laparoscopic surgery for AEG has not reached a consensus. Therefore, laparoscopic surgery for AEG has gradually become a hot topic in clinical research. Here, combined with the experience of laparoscopic surgery for AEG and the latest guidelines and literatures, authors presented the general strategies for the laparoscopic treatment of AEG in our center.

     

/

返回文章
返回