胸腹腔镜联合食管胃结合部腺癌根治术的难点与技巧

Difficulties and skills of thoracoscopy combined with radical resection of adenocarcinoma of esophagogastric junction

过去几十年中食管胃结合部腺癌(AEG)的发病率明显升高。为了达到肿瘤学的根治,部分AEG的外科治疗同时需要腹部手术及胸部手术。然而传统的开胸手术创伤较大,术后并发症率较高。随着微创技术的推广,采用胸、腹腔镜联合治疗食管胃结合部腺癌将逐渐成为主要治疗方式之一。

The incidence of adenocarcinoma of the esophagogastric junction(AEG)has dramatically increased over the last few decades.Surgery for AEG occasionally requires both thoracotomy and laparotomy,which is associated with a high morbidity rate.Recently an increasing number of patients with AEG have been treated by minimally invasive surgery using either thoracoscopy or laparoscopy.Minimally invasive surgery is promising compared with conventional open surgery.