食管胃结合部癌的治疗进展

Advances in the Treatment of Esophagogastric Junction Cancer

食管胃结合部癌的发病率在全球范围内不断上升,其死亡率也居恶性肿瘤前列,由于肿瘤位置的特殊性,病理分期较晚,患者术后生存较差;手术治疗作为食管胃结合部癌的主要治疗方式,其手术入路、淋巴结清扫范围、消化道的重建均存在着较大的争议;本文主要是从食管胃结合部癌的定义、分型、临床表现、手术入路、淋巴结清扫、消化道重建等方面做一综述,从而为治疗提供参考。

The incidence of esophagogastric junction cancer is increasing globally, and its mortality is also at the forefront of malignant tumors. Due to the particularity of tumor location, the pathological stage is late, and the postoperative survival of patients is poor. As the main treatment method of esophagogastric junction cancer, surgical treatment is controversial in terms of surgical approach, lymph node dissection scope and digestive tract reconstruction. This article mainly reviews the definition, type, clinical manifestations, surgical approach, lymph node dissection, digestive tract reconstruction and other aspects of esophagogastric junction cancer, so as to provide reference for treatment.