Siewert II型食管胃结合部腺癌外科治疗的研究进展及思考

Research Progress and Thinking on the Surgical Treatment of Siewert Type II Adenocarcinoma of the Esophagogastric Junction

Siewert I和III型食管胃结合部癌的外科治疗方案已基本形成共识,即Siewert I型食管胃结合部癌按照食管癌处理,Siewert III型食管胃结合部癌按照胃癌处理。但是,对于Siewert II型食管胃结合部腺癌的外科治疗方案尚存在较大分歧,包括手术入路的选择、淋巴结清扫范围、食管切除长度及胃切除范围等。本文系统梳理了近期国内外关于Siewert II型食管胃结合部腺癌外科治疗的相关文献,从手术入路、淋巴结清扫范围、食管及胃切除范围、消化道重建等方面对Siewert II型食管胃结合部腺癌外科治疗的研究进展进行综述,以期为Siewert II型食管胃结合部腺癌外科治疗提供参考。

The surgical treatment of Siewert type I and type III esophagogastric junction carcinoma has basi-cally formed a consensus, that is, Siewert type I esophagogastric junction carcinoma is treated as esophageal cancer, and Siewert type III esophagogastric junction carcinoma is treated as gastric cancer. However, the surgical treatment options for Siewert II adenocarcinoma of the esophagogas-tric junction are still very controversial, including the choice of surgical approach, the extent of lymph node dissection, the length of esophageal resection and the extent of gastrectomy. In this ar-ticle, we systematically reviewed the recent literatures on the surgical treatment of Siewert type II adenocarcinoma of the esophagogastric junction, and evaluated the progress of surgical treatment of Siewert II adenocarcinoma of the esophagogastric junction in terms of surgical approach, lymph node dissection, esophageal and gastric resection, and gastrointestinal tract reconstruction, in or-der to provide reference for the surgical treatment of Siewert II adenocarcinoma of the esoph-agogastric junction.