摘要
食管癌是消化系统中最常见恶性肿瘤之一。西方国家的食管癌以腺癌为主,我国90%以上的食管癌病理类型为鳞状细胞癌,且多数发生在胸内中下段食管。根治性手术目前仍是可切除食管癌的最重要治疗方式。根据食管的解剖结构以及食管癌的疾病程度,目前的切除方式包括内镜黏膜下剥除、经食管裂孔食管剥脱、经胸食管切除、腔镜食管癌切除等。本文针对中下段食管鳞癌的最佳外科治疗方式进行探讨,以期为胸外科医师在临床决策提供依据。
Esophageal cancer is one of the most common malignancies in the digestive tract.Different from that adenocarcinoma is much more common in the West,squamous cell carcinoma is the predominate pathological type in more than 90% patients with esophageal cancer in China,majority of which had the cancer located in the middle and lower thoracic esophagus. Radical resection is still the important treatment for resectable esophageal cancer by now. Based on the anatomy of esophagus and staging of esophagus cancer,surgical treatment for the disease includes endoscopic submucosal dissection,transhiatal esophagectomy,transthoracic esophagectomy,and minimally invasive esophagectomy. The aim of this study was to analysis the "best"surgical treatment for middle and lower esophageal cancer,and to help surgeons for treatment decision-making.
作者
马俊杰
李斌
陈海泉
MA Junjie;LI Bin;CHEN Haiquan(Department of Thoracic Surgery,The Second People’s Hospital of Liaocheng,The Second Hospital of Liaocheng Affiliated to Shandong First Medical University,Shandong,Liaocheng 252600,China)
出处
《临床外科杂志》
2021年第8期781-783,共3页
Journal of Clinical Surgery
关键词
食管鳞状细胞癌
食管癌手术
外科治疗
esophageal squamous cell carcinoma
esophagectomy
surgical treatment
