摘要
食管胃结合部腺癌已成为上消化道肿瘤中发病率上升最快的恶性肿瘤之一,且远处转移率高,预后较差。其特殊的发病部位及上皮来源,决定了其临床特点的异质性,以及不同的手术策略。得益于近年来胃癌保功能手术临床研究的不断深入,使我们在面对不同肿瘤部位时拥有更多的吻合方式选择。本文作者将结合个人经验,介绍并探讨不同分型食管胃结合部腺癌,行腹腔镜下手术的不同消化道重建方式的现状及进展。
Adenocarcinoma of the esophagogastric junction has become one of the malignant tumors of the upper digestive with most rapidly increasing incidence,and it also has a high distant metastasis rate and poor prognosis.Its special tumor location and epithelial origin determine the heterogeneity of its clinical features and different surgical strategies.Thanks to the deepening of functional surgery theory for gastric cancer in recent years,there are more anastomotic options for different tumor sites.Here,the authors,based on personal experience,introduce and discuss the status and progress of different methods of digestive tract reconstruction for different types of esophagogastric junction adenocarcinoma under laparoscopic surgery.
作者
何子锐
臧潞
HE Zirui;ZANG Lu(Department of General Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine/Shanghai Clinical Medical Center for Minimally Invasive Surgery,Shanghai 200025,China)
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2021年第10期1127-1132,共6页
China Journal of General Surgery
基金
上海市卫健委先进适宜技术推广基金资助项目(2019SY030)。
关键词
胃肠肿瘤
食管胃接合处
消化道重建
腹腔镜
Gastrointestinal Neoplasms
Esophagogastric Junction
Gastrointestinal Reconstruction
Laparooscopes
