摘要
全世界食管胃结合部癌的发病率呈上升趋势。以手术治疗为主的综合治疗是治疗食管胃结合部癌的总体策略。由于食管胃结合部癌解剖和病理学等方面的特殊性,其外科治疗仍有诸多难点和争议。近年来,食管胃结合部癌相关研究逐渐受到广大医务工作者的重视,并取得一定的进展。笔者从手术径路、淋巴结清扫、食管胃切除及消化道重建4个方面对食管胃结合部癌的外科治疗进展进行阐述。
The incidence of the esophagogastric junction (EGJ) cancer tends to increasing in recent years. Comprehensive treatment based on surgical treatment is currently a general strategy for the treatment of EGJ cancer. Because of the particularity of the anatomy and pathology of EGJ cancer, there were difficulties and controversies existing in the surgical treatment of EGJ cancer. Medical researchers have attached great importance to the treatment of EGJ cancer and made remarkable progress in it. Therefore, the authors summarize the progress of surgical treatment of EGJ cancer, and present it in four aspects of surgical approach lymph, node dissection, esophagogastric resection and digestive tract reconstruction.
作者
徐泽宽
王林俊
徐皓
Xu Zekuan;Wang Linjun;Xu Hao(Department of General Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2019年第6期523-527,共5页
Chinese Journal of Digestive Surgery
基金
江苏省重点研发计划项目(BE2016786)
江苏省医学重点学科(ZDXKA2016005)
江苏高等教育机构重点学科建设项目(PAPD,JX10231801)
江苏省肿瘤生物标志物及防治重点实验室南京医科大学肿瘤个体化医学协同创新中心江苏省333工程(BRA2015474).
关键词
食管胃结合部癌
外科治疗
手术径路
淋巴结清扫
食管胃切除
消化道重建
进展
Esophagogastric junction cancer
Surgical treatment
Surgical approach
Lymph node dissection
Esophagogastric resection
Digestive tract reconstruction
Progress
