摘要
食管癌是世界范围内常见恶性肿瘤之一,且极具中国特色。食管癌治疗目前仍采用以手术为主的综合诊断与治疗模式。随着微创技术在食管癌手术中的广泛应用,食管癌手术诊断与治疗理念不断更新,特别是机器人手术在食管外科的应用,淋巴结清扫质量不断提高,全腔镜下腔内吻合技术日趋成熟。对于局部晚期食管癌,以新辅助治疗为主的诊断与治疗模式逐渐被广大国内学者接受。笔者结合国内外最新研究,以食管外科技术、食管外科理念及食管外科诊断与治疗模式为主题,回顾归纳食管癌外科综合治疗的近年最新进展,旨在为食管癌外科规范化治疗提供理论性指导。
Esophageal cancer is one of the common malignant tumors in the worldwide and has regional characteristics in China.At present,the treatment of esophageal cancer is still a comprehensive diagnosis and treatment mode based on surgery.With the application of minimally invasive technique in surgery of esophageal cancer,the concept of surgical diagnosis and treatment for esophageal cancer is constantly updating.The application of robotic surgical system in esophageal surgery promotes the surgical quality of lymph node dissection and improves the technique of intraluminal anastomosis under total endoscopy.For locally advanced esophageal cancer,a diagnosis and treatment mode based on neoadjuvant therapy has been gradually accepted by most of doctors around China.Combined with the latest researches at home and abroad,the authors investigate the development of surgical techniques,the renewal of surgical concept and the changes on diagnosis and treatment,summarize the new advances in comprehensive surgical treatment for esophageal cancer,in order to provide the theoretical guidance for the standardized treatment of esophageal cancer.
作者
于振涛
弓磊
杨月阳
唐鹏
Yu Zhentao;Gong Lei;Yang Yueyang;Tang Peng(Department of Thoracic Surgery,Shenzhen Center,Cancer Hospital Chinese Academy of Medical Sciences,Shenzhen 518172,China;Department of Esophageal Oncology,Tianjin Medical University Cancer Ins-titute&Hospital,National Clinical Research Center for Cancer,Tianjin Key Laboratory of Cancer Pre-vention and Therapy,Tianjin Clinical Research Center for Cancer,Tianjin 300060,China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2022年第1期30-33,共4页
Chinese Journal of Digestive Surgery
基金
天津市肿瘤医院临床试验基金(C1711)
白求恩医学基金-卓越外科基金(HZB⁃20190528-11)。
关键词
普通外科
食管肿瘤
微创食管癌根治术
淋巴结清扫
新辅助治疗
综合治疗
General surgery
Esophageal neoplasms
Minimally invasive esophagectomy
Lymph node dissection
Neoadjuvant therapy
Comprehensive treatment
