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Surgical strategy for adenocarcinoma of esophagogastric junction / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 107-111, 2019.
Article in Chinese | WPRIM | ID: wpr-774418
ABSTRACT
The incidence of adenocarcinoma of esophagogastric junction (AEG) has been increasing. The surgical strategy for AEG remains controversial. The Siewert definition of AEG facilitates decision of surgical approach, while TNM stage for AEG contributes to prognosis evaluation and clinical decision making. Generally, transthoracic procedure is suitable for Siewert I and transhiatal is suitable for Siewert III. The lymph node drainage of AEG is characterized by simultaneous drainage to the mediastinal and abdominal lymphatic pathways. The optimal lymphadenectomy depends on the distribution of lymph node metastasis. Reconstruction of the digestive tract requires safety as a precondition, taking into account of postoperative complications and quality of life. For AEG patients undergoing total gastrectomy, Roux-en-Y anastomosis is more common. For those undergoing proximal gastrectomy, esophageal residual stomach (tubular stomach) anastomosis is more common, but the proportion of postoperative reflux esophagitis is higher. Some documents have revealed advantages of minimally invasive laparoscopic operation for AEG, but higher level evidences is needed.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Quality of Life / Stomach Neoplasms / General Surgery / Esophageal Neoplasms / Adenocarcinoma / Retrospective Studies / Esophagogastric Junction / Gastrectomy / Lymph Node Excision Type of study: Observational study / Prognostic study Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Quality of Life / Stomach Neoplasms / General Surgery / Esophageal Neoplasms / Adenocarcinoma / Retrospective Studies / Esophagogastric Junction / Gastrectomy / Lymph Node Excision Type of study: Observational study / Prognostic study Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2019 Type: Article