中国实用外科杂志Issue(7)：614-616,3.DOI:10.7504/CJPS.ISSN1005-2208.2014.07.09
经腹全胃切除术治疗食管胃结合部癌合理选择
Rational indication of total gastrectomy with abdominal approach for carcinoma of the esophagogastric junction
摘要
Abstract
There is a recognized increase in incidence of esophagogastric junction cancer. A consensus was reached to classify into three subtypes according to the Siewert classification. Siewert Ⅱ adenocarcinoma and squamous carcinoma of esophagogastric junction existing in the same area have distinct clinicopathological characteristics. According to the results of clinical studies, left thoracoabdominal (LTA) approach did not improve survival and morbidity after LTA was worse than that after abdominal-transhithan (TH). The incidence of lymph node metastasis is high in the right paracardial, lesser curve, left paracardial nodes and also the nodes along the left gastric artery, common hepatic artery, celiac artery and proximal splenic artery. Dissection of the above-mentioned nodes is essential for obtaining therapeutic benefit. Splenectomy is not necessary unless the tumor infiltrates spleen straightly.关键词
食管胃结合部/胃癌/淋巴结清扫/全胃切除术Key words
esophagogastirc junction/gastric cancer/lymph nodes dissection/total gastrectomy分类
医药卫生引用本文复制引用
梁寒..经腹全胃切除术治疗食管胃结合部癌合理选择[J].中国实用外科杂志,2014,(7):614-616,3.基金项目
天津市科委抗癌重大专项基金 （）
