Abdominal surgery for adenocarcinoma of esophgogastric junction / 国际外科学杂志

ABSTRACT

In recent years, the adenocarcinoma of esophagogastric junction(AEG) has become an academic hot spot. Due to the requirements of resection margin, lymph node dissection, and digestive tract reconstruction, appropriate operation pathways of Siewert Ⅱ/Ⅲ type of AEG are still on the consensus. The abdominal-transhiatal approach (TH) to treat AEG is characterized by less injury, convenient abdominal lymph nodes dissection, but limited space for mediastinal lymph nodes dissection and digestive tract reconstruction. Taken the current clinical research evidence and domestic clinical application status, it is more appropriate to choose the TH approach for the Siewert Ⅱ/Ⅲ AEG patients whose esophageal was involved less than 2cm. On this basis, relevant clinical studies are still needed to be well designed and carried out to obtain more evidence andpromote the precision medicine of AEG.