胸段食管癌淋巴结清扫情况研究进展

Study and application of lymph node dissection of thoracic esophageal cancer

食管癌是我国最常见的消化道恶性肿瘤之一,手术仍是治疗食管癌的主要方法,尽管目前手术技术进步明显,但食管癌仍具有恶性程度高、预后不佳等特点。食管癌难以被治愈的主要原因在于其解剖结构特殊,经常发生复发与转移。因此,规范的淋巴结清扫对其预后存在巨大的影响,但目前对食管癌淋巴结清扫的标准、范围、方式等问题仍有很大争议,缺少相应的指南和共识,为此作者结合临床经验,并参考最新研究进展,对食管癌淋巴结转移的分期以及淋巴结清扫范围、入路等热点问题进行了论述,为食管癌的手术治疗及研究提供依据和研究方向。使患者接受更准确、更规范、更有效的治疗,获得更好地预后。

Esophageal cancer is one of the most common malignant tumors of the digestive tract in China,esophagectomy is still the main procedure for the treatment of esophageal cancer.Even though surgical techniques have developed rapidly,it still has high malignancy and poor prognosis.The main reason why esophageal cancer is difficult to be cured is because of its special anatomy,recurrence and metastasis often occur.Therefore,standardized lymph node dissection of esophageal cancer has a huge impact on its prognosis,but the current standards,scope,and methods for lymph node dissection of esophageal cancer are still highly controversial,and lack of corresponding guidelines and consensus.Many details and issues suchas sentinel lymph nodes are worthy of in-depth discussion and research.The authors refer to the relevant literature,combined with clinical experience,review and discuss hotspots such as staging of lymph node metastasis of esophageal cancer,lymph node dissection and approach.Hope to provide the basis and research direction for the surgical treatment and research of esophageal cancer.Provide patients with more accurate,standardized,and effective treatments in order to achieve a better prognosis.