食管胃结合部腺癌腹腔镜下重建方式的选择

Selection of laparoscopic reconstruction methods for adenocarcinoma of esophagogastric junction

腹腔镜技术经过十余年的发展,在治疗食管胃结合部腺癌中已显示出一定优势。由于食管胃结合部腺癌特殊的解剖位置和生物性,尚无高质量的前瞻性研究来证明腹腔镜技术在其治疗中的地位。对于不同分型的腹腔镜下手术方案亦缺乏指导性建议,本文主要就SiewertⅡ、Ⅲ型食管胃结合部腺癌腹腔镜下消化道重建方式进行综述。

After more than ten years of development, laparoscopic technology has shown some advantages in the treatment of adenocarcinoma of esophagogastric junction. Because of the special anatomical location and biological characteristics of the esophagogastric junction adenocarcinoma, there is no high-quality prospective study to demonstrate the role of laparoscopic technology in its treatment. For different classifi-cation, the laparoscopic surgery is also lack of guidance. This article mainly reviewed the laparoscopic digestive tract reconstruction methods of Siewert Ⅱ, Ⅲ .