腹腔镜技术在食管胃结合部腺癌诊治中的应用及评价

Application and efficacy of laparoscopic technique for adenocarcinoma of the esophagogastric junction

腹腔镜技术在食管胃结合部腺癌(AEG)中的运用是基于Siewert分型系统的指导进行的。经过十余年的临床实践,腹腔镜手术已经在AEG的治疗中显示出了一定的活力。其手术的安全性及对于相对早期肿瘤的疗效已经得到证实。但是由于该肿瘤部位和生物学特性,目前尚缺乏大规模、多中心的前瞻性临床研究来判断腹腔镜技术在其治疗中的价值和地位。外科医师应严格选择合适病例,严格遵循恶性肿瘤手术的根治原则,以发挥腹腔镜技术的微创优势,并取得与传统手术相当的远期疗效。

The use of the laparoscopic technique in adenocarcinoma of the esophagogastric junction （AEG） is based on the Siewert classification system. After more than 10 years of clinical practice, the treatment of laparoscopic surgery in AEG has shown some advantage. It has been confirmed that laparoscopic technique is safety and efficacy for early cancer. However, due to the tumor site specificity and biological characteristics, it still needs the results of multi-center prospective randomized controlled study to evaluate the advantages and disadvantages of laparoscopic surgery for AEG. Only by choosing the suitable surgical cases strictly and following the principles of radical cancer surgery strictly, laparoscopic technique can be performed with minimally invasive advantages and similar long-term effects compared with the traditional surgery.