摘要
浅表食管癌(SEC)的传统治疗以内镜治疗和外科手术治疗为主。外科手术是食管肿瘤治疗的标准方法,但其围手术期并发症发生率和病死率均较高。近年来,内镜黏膜下剥离术已取得较大进展,为SEC患者提供了有效的诊断和治疗方法。本文就SEC内镜黏膜下剥离术与外科手术的疗效对比和超出内镜黏膜下剥离术适应证的SEC的治疗策略作一综述,以期提高临床医师对SEC治疗的认知。
Superficial esophageal carcinoma(SEC)has traditionally been treated with endoscopic therapy and surgery.Surgical procedures have always been the standard approach for the management of esophageal tumors,but they are associated with high perioperative morbidity and mortality.In recent years,endoscopic submucosal dissection(ESD)has made significant advancements,offering an effective diagnostic and therapeutic modality for SEC.This article reviewed the comparison of therapeutic efficacy between ESD and surgery for SEC,and discussed the treatment strategies for SEC that extended beyond the indications for ESD,with the aim of enhancing clinicians'understanding of SEC management.
作者
杨若云
陈涵
张国新
YANG Ruoyun;CHEN Han;ZHANG Guoxin(Department of Gastroenterology,the First Affiliated Hospital of Nanjing Medical University,Nanjing,210029)
出处
《胃肠病学》
2024年第2期119-123,共5页
Chinese Journal of Gastroenterology
基金
江苏省科技厅临床前沿技术项目(BE2020784)。
关键词
食管肿瘤
内镜黏膜下剥离术
外科手术
治疗
Esophageal Neoplasms
Endoscopic Submucosal Dissection
Surgical Procedures,Operative
Therapy
