食管胃结合部腺癌的微创外科治疗

食管胃结合部腺癌具有相对独立的临床病理特征和治疗策略。随着微创外科的快速发展，部分早期食管胃结合部腺癌可通过腹腔镜或内镜手术获得治愈性切除。食管胃结合部腺癌的微创外科治疗应遵循恶性肿瘤根治手术的基本原则，重视术前分期评估的准确性，严格把握适应证，合理选择微创外科治疗方式。未来，应加强微创外科治疗的技术培训，进一步规范食管胃结合部腺癌微创外科治疗技术，并开展多中心、前瞻性、随机对照临床研究，明确食管冒结合部腺痛微创外科治疗的安伞件和疗效。

Minimally invasive surgery for the treatment of adenocarci-noma of the esophagogastric junction

Adenocarcinoma of the esophagogastric junction （AEG） has relatively unique clinicopathologica] cha- racteristics. With the rapid development of minimally invasive surgery, some early AEG can be cured by laparoscopic or endo- scopic resection. Minimally invasive surgery of AEG should fo- llow the basic principles of radical surgery, depending on accu- rate preoperative tumor stage and restricting to the indications. In the future, the training of minimally invasive surgery should be strengthened, and the standards of professional techniques should be formulated. Moreover, the safety and efficacy of mini- mally invasive surgery for the treatment of AEG must be demon- strated by multicenter randomized controlled trials.