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| 引用本文： | 所剑,王大广,夏明杰.???θ?????????????·???????[J].中国实用外科杂志,2012,32(4):295-297. |
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| 作者姓名： | 所剑 王大广 夏明杰 |
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| 作者单位： | ????????????????????????130021 |
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| 摘 要： | 食管胃结合部腺癌(AEG)与传统意义上的食管癌及胃癌存在较大差异。随着对其淋巴结转移规律的总结和认识,目前认为仅对于以纵隔淋巴结转移为主的SiewertI型AEG,经胸或左胸腹联合切口可作为其推荐的手术入路。对于以腹腔淋巴结转移为主的SiewertⅡ/Ⅲ型AEG,经胸入路及胸腹联合入路与开腹手术相比手术风险大、住院时间延长,且不改善病人长期存活率。由于较少合并纵隔淋巴结转移,经腹入路可作为SiewertⅡ/Ⅲ型肿瘤合理的手术选择。
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| 关 键 词： | 食管胃结合部腺癌 淋巴结清扫 手术入路 |
Reasonable option of surgical approach for adenocarcinoma of the esophagogastric junction |
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| SUO Jian,WANG Da-guang,XIA Ming-jie.Reasonable option of surgical approach for adenocarcinoma of the esophagogastric junction[J].Chinese Journal of Practical Surgery,2012,32(4):295-297. |
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| Authors: | SUO Jian WANG Da-guang XIA Ming-jie |
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| Institution: | .Department of General Surgery,the First Hospital of Jilin University,Changchun 130021,China |
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| Abstract: | Compared with traditional esophageal and gastric cancer,adenocarcinoma of the esophagogastric junction(AEG) is quite different.The transthoracic or left thoraco-abdominal incision can only be used as the recommended surgical approach for type I AEG with mediastinal lymph node metastasis.For type Ⅱ/Ⅲ AEG with abdominal lymph node metastasis,the transthoracic and thoraco-abdominal approach can increase the operative risk,prolong hospitalization and can not improve long-term survival of patients compared with abdominal approach.For type Ⅱ/Ⅲ AEG with fewer mediastinal lymph node metastasis,abdominal approach is a reasonable surgical option. |
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| Keywords: | adenocarcinoma of the esophagogastric junction lymph node dissection surgical approach |
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