2009年欧盟提出发展目标,计划在2050年前将50%以上的公路运输转换为铁路或水路运输。为应对挑战、实现目标,欧洲水运行业开始研发全新的组织运营模式来大力发展近海和内河航运,AEGIS(Advanced,Efficient and Green Intermodal Systems)...2009年欧盟提出发展目标,计划在2050年前将50%以上的公路运输转换为铁路或水路运输。为应对挑战、实现目标,欧洲水运行业开始研发全新的组织运营模式来大力发展近海和内河航运,AEGIS(Advanced,Efficient and Green Intermodal Systems)项目应运而生。展开更多
Based on Siewert classification, adenocarcinomas of the esophagogastric junction （AEGs） have different behaviors of perigastric-mediastinal nodal metastasis. Siewert type I AEGs have higher incidence of mediastinal ...Based on Siewert classification, adenocarcinomas of the esophagogastric junction （AEGs） have different behaviors of perigastric-mediastinal nodal metastasis. Siewert type I AEGs have higher incidence of mediastinal nodal metastasis than those of type H or III, especially at middle-upper mediastinum. With regard to the necessity of mediastinal lymphadenectomy, theoretically, transthoracic esophagogastrectomy with complete mediastinal lymphadenectomy is suggested for Siewert type I AEGs, while transhiatal total gastrectomy with lower mediastinal and D2 perigastric lymphadenectomy is a standard surgery for type II-III AEGs. Nevertheless, the mediastinal nodal metastasis is an independent factor of poor prognosis for any type of AEG.展开更多
文摘2009年欧盟提出发展目标,计划在2050年前将50%以上的公路运输转换为铁路或水路运输。为应对挑战、实现目标,欧洲水运行业开始研发全新的组织运营模式来大力发展近海和内河航运,AEGIS(Advanced,Efficient and Green Intermodal Systems)项目应运而生。
基金National Natural Science Foundation of China (No. 81372344 and 81301866)New Century Excellent Talents in University support program, Ministry of Education of China (2012SCU-NCET-11-0343)
文摘Based on Siewert classification, adenocarcinomas of the esophagogastric junction （AEGs） have different behaviors of perigastric-mediastinal nodal metastasis. Siewert type I AEGs have higher incidence of mediastinal nodal metastasis than those of type H or III, especially at middle-upper mediastinum. With regard to the necessity of mediastinal lymphadenectomy, theoretically, transthoracic esophagogastrectomy with complete mediastinal lymphadenectomy is suggested for Siewert type I AEGs, while transhiatal total gastrectomy with lower mediastinal and D2 perigastric lymphadenectomy is a standard surgery for type II-III AEGs. Nevertheless, the mediastinal nodal metastasis is an independent factor of poor prognosis for any type of AEG.
