食管癌根治术腹部淋巴结清扫中国专家共识(2023版)

Chinese expert consensus on celiac lymphadenectomy during open/minimally invasive esophagectomy(2023edition)

外科手术是食管癌治疗的核心手段,淋巴结清扫为食管癌根治术的重要组成部分,主要包括纵隔和腹部淋巴结清扫。2017年,中国抗癌协会食管癌专业委员会发布了《食管癌根治术胸部淋巴结清扫中国专家共识(2017版)》,然而,至今仍然缺乏有关腹部淋巴结清扫的中国专家共识。因此,中国抗癌协会食管癌专业委员会基于最新的临床指南、共识和相关证据,组织行业内专家,经过反复论证,制定了食管癌根治术腹部淋巴结清扫中国专家共识(2023版)。共识主要针对腹部淋巴结清扫的手术入路、清扫范围、质量控制和并发症防治等方面进行探讨,旨在为进一步标准化和规范化食管癌根治术腹部淋巴结清扫提供指导性意见。

Surgical resection remains the cornerstone of the multidisciplinary treatment for patient with localized esophageal cancer.Lymphadenectomy is a pivotal step of radical esophagectomy,which is advanced technique required.Although the consensus on mediastinal lymph node dissection in the radical esophagectomy had been published in China,no agreement or consensus are available on the abdominal lymph node dissection.Based on the latest guidelines or consensuses,available clinical evidence,and agreements from Chinese expert panel of abdominal lymph node dissection in the radical esophagectomy,Chinese Society of Esophageal Cancer,China Anti-cancer Association organized experts to discuss and write this consensus.The expert consensus focuses on the key points of and makes recommendations for surgical approach,extent of lymphadenectomy,quality control and complication management for abdominal lymph node dissection in the radical esophagectomy in China.Applying a standard and efficient abdominal lymph node dissection in the radical surgical resection for patient with esophageal cancer is important and indispensable.