国际肿瘤学杂志 ›› 2013, Vol. 40 ›› Issue (2): 130-133.

• 综述 • 上一篇    下一篇

食管胃结合部腺癌的手术治疗

施贵冬, 付茂勇   

  1. 637000 南充,川北医学院附属医院胸心外科
  • 出版日期:2013-02-08 发布日期:2013-01-25
  • 通讯作者: 付茂勇,Email:fumaoyongmd@163.com E-mail:fumaoyongmd@163.com

Surgical treatment of esophagogastric junction adenocarcinoma

SHI  Gui-Dong, FU  Mao-Yong   

  1. Department of Cardiothoracic Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
  • Online:2013-02-08 Published:2013-01-25
  • Contact: Corresponding author: FU Mao-yong, E-mail: fumaoyongmd@163.com E-mail:fumaoyongmd@163.com

摘要: 进展期食管胃结合部腺癌(AEG)目前有多种手术治疗方式Ⅰ、Ⅱ型主要以经胸为主,部分Ⅱ型选择经腹,Ⅲ型以经腹、上腹左胸(LTA)为主。术中淋巴结清扫是影响术后生存率的最重要因素之一,其中贲门右淋巴结(NO.1)、贲门左淋巴结(NO.2)、胃小弯侧(NO.3)、胃左动脉旁(NO.7)应做常规清扫。

关键词: 食管胃接合处, 腺癌, 外科手术, 淋巴结切除术

Abstract: There are a variety of surgical treatments of advanced esophagogastric junction cancer, type Ⅰ、Ⅱ mainly by transthoracic approach, part of the type Ⅱ by transabdominal approach, type Ⅲ mainly by left thoracoabdominal approach (LTA) or transabdominal. Intraoperative lymph node dissection is one of the most important factors which affect the postoperative survival rate. The cardia right lymph node (NO.1), the cardia left lymph node (NO.2), gastric lesser curvature (NO.3) and left gastric artery side (NO.7) should do regular cleaning.

Key words: Esophagogastric junction, Adenocarcinoma, Surgical procedures, operative, Lymph node excision