摘要
食管胃结合部腺癌的发病率逐年增加,其中SiewertⅡ型食管胃结合部癌在手术方式方面存在许多争论,虽然目前已有许多研究表明,对于食道受侵<3 cm的SiewertⅡ型食管胃结合部癌采取经腹手术优于经胸手术,但是针对一些体型肥胖,肿瘤体积较大,食道断端偏高的患者,经腹食道裂孔入路的手术方式在下纵膈淋巴结清扫、后纵膈内吻合等方面存在不小的难度。为了解决这些问题,我们改进了新的术式,全腹腔镜下经左侧膈肌入路行SiewertⅡ型食管胃结合部癌根治术具备良好的手术视野和宽阔的手术空间,降低了经腹手术的难度。
The incidence of adenocarcinoma at the esophagogastric junction(AEG)is rising every year;however,the mode of operation for Siewert Ⅱ AEG is still controversial.Accumulating evidence has shown that transabdominal surgery is better than transthoracic surgery for Siewert Ⅱ AEG with esophageal invasion<3 cm.In patients with obesity,a large tumor size,and high transection of the esophagus,the transabdominal esophageal hiatus approach for lower mediastinal lymph node dissection and posterior mediastinal anastomosis is difficult.Thus,total laparoscopic radical resection of Siewert Ⅱ AEG is carried out through the left diaphragm for the optimal surgical field of vision and space.It reduces the difficulty of transabdominal surgery.
作者
黄云
杨坤秋
刘刚
Huang Yun;Yang Kunqiu;Liu Gang(Department of General Surgery,Sixth Medical Center,PLA General Hospital,Beijing 100048,China)
出处
《中华普外科手术学杂志（电子版）》
2022年第3期257-257,共1页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
