Siewert Ⅱ型食管胃结合部腺癌的治疗策略
作者:
作者单位:

中国医科大学附属第一医院 胃肠肿瘤外科,辽宁 沈阳 110000

作者简介:

朱甲明,中国医科大学附属第一医院主任医师,主要从事胃肠肿瘤外科方面的研究。

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朱甲明,Email: zhujiaming75@sina.com

基金项目:


Treatment strategies for Siewert type Ⅱ adenocarcinoma of esophagogastric junction
Author:
Affiliation:

Department of Gastrointestinal Surgical Oncology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China

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    摘要:

    食管胃结合部癌(EGJ)发病率逐年升高,且Siewert Ⅱ型食管胃结合部腺癌(AEG)的治疗仍然存在较大争议。其核心问题主要围绕食管切缘和胃切除范围、淋巴结清扫范围及消化道重建方式等方面。随着国内外针对Siewert Ⅱ型AEG不断进行多学科讨论学习与验证,Siewert Ⅱ型AEG的诊疗思路日益完善和规范。我国亦通过多中心试验(CLASS-10等)不断探究Siewert Ⅱ型AEG治疗的规范化道路。相信随着越来越多的大型前瞻性临床研究的积极推进,为各学科之间的沟通合作与新技术的创新带来更多融合的可能,能够给予患者更多的生存获益。

    Abstract:

    The incidence of esophagogastric junction (EGJ) cancer has been on the rise in recent years, and the treatment of Siewert type Ⅱ adenocarcinoma of EGJ (AEG) is still controversial. The core issues are mainly concentrated in the esophagus resection margin, the scope of gastrectomy, the extent of lymph node dissection, and the method of digestive tract reconstruction. With the continuous multidisciplinary discussion and verification for Siewert type Ⅱ AEG at home and abroad, the diagnosis and treatment of Siewert type Ⅱ AEG have become increasingly standardized. The standardization of Siewert type Ⅱ AEG treatment has also been explored through multi-center trials (e.g., CLASS-10) in our country. It is believed that the active advancement of more and more large-scale prospective clinical studies will bring more integration possibilities for communication and cooperation among various disciplines and innovation of new technologies, which will provide more survival benefits to patients.

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引用本文

王鑫,朱甲明. Siewert Ⅱ型食管胃结合部腺癌的治疗策略[J].中国普通外科杂志,2022,31(10):1265-1271.
DOI:10.7659/j. issn.1005-6947.2022.10.001

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  • 收稿日期:2022-04-10
  • 最后修改日期:2022-09-15
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  • 在线发布日期: 2022-10-31