食管胃结合部腺癌的手术治疗

Surgical treatment of esophagogastric junction adenocarcinoma

进展期食管胃结合部腺癌（AEG）目前有多种手术治疗方式，I、Ⅱ型主要以经胸为主，部分Ⅱ型选择经腹，Ⅲ型以经腹、上腹左胸（LTA）为主。术中淋巴结清扫是影响术后生存率的最重要因素之一，其中贲门右淋巴结（NO．1）、贲门左淋巴结（NO．2）、胃小弯侧（NO．3）、胃左动脉旁（NO．7）应做常规清扫。

There are a variety of surgical treatments of advanced esophagogastric junction cancer, type I , I1 mainly by transthoracic approach, part of the type II by transabdominal approach, type Ill mainly by left thoracoabdominal approach （LTA） or transabdominal. Intraoperative lymph node dissection is one of the most important factors which affect the postoperative survival rate. The cardia right lymph node （ NO. l ）, the cardia left lymph node （ NO. 2）, gastric lesser curvature （ NO. 3 ） and left gastric artery side （ NO. 7 ） should do regn lar cleaning.