早期食管癌:内镜还是外科手术?

Early esophageal cancer:Endoscopic resection or surgical resection?

早期食管癌的治疗方式主要分为内镜下切除和外科切除。内镜下切除安全、微创,但无法进行淋巴结清扫。外科切除能比较彻底地切除病变及周围组织,但创伤大,后期对患者生活质量影响大。对患者的一般情况、病变淋巴结转移风险以及治疗本身的风险进行综合评估,是优化治疗决策、制定个性化治疗方案的重要措施。

Endoscopic resection and surgical resection are the two major therapeutic methods for early esophageal cancer. Endoscopic resection is safe and minimally invasive, but lymph node dissection can not be performed.Although surgery provides a rather thorough resection of the lesions and affected lymph nodes, surgical trauma brings certain negative impact on patients’ long-term life quality. A comprehensive assessment of the patient’s general condition,the risk of diseased lymph node metastasis, and the risk of the treatment itself is an important measure to optimize treatment decisions and formulate personalized treatment plans.