全腹腔镜Siewert Ⅱ型胃食管结合部癌根治术现状

doi:10.3877/cma.j.issn.1674-6899.2019.05.012

胃食管结合部癌(adenocarcinoma of the esophagogastric junction，AEG)发病率近年来明显增加，传统开腹手术创伤大、围手术期并发症发生率较高、术后恢复慢，随着腹腔镜技术的发展，腹腔镜在AEG的应用也越来越广泛；研究表明，腹腔镜全胃切除术相较于传统开腹手术，手术创伤小、并发症较少、安全性较高，同时在淋巴结清扫及生存获益上不劣于开腹手术。笔者从全腔镜全胃切除、淋巴结清扫和消化道重建的目前现状进行简要阐述。

关键词: 胃食管结合部癌, 腹腔镜, 全胃切除术, 淋巴结清扫, 消化道重建

The incidence of gastroesophageal junction cancer (AEG) has increased obviously recent years. Traditional open surgery has large trauma, high incidence of perioperative complications and slow postoperative recovery. With the development of laparoscopic technology, laparoscopic application in AEG is becoming more and more widespread. Research shows that laparoscopic total gastrectomy has less trauma, fewer complications and higher safety compared with traditional open surgery. This article will briefly describe the current situation of total gastrectomy, lymph node dissection and digestive tract reconstruction under total endoscopy.

Key words: Gastroesophageal junction cancer, Laparoscopy, Total gastrectomy, Lymph node dissection, Digestive tract reconstruction

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Current status of total laparoscopic radical resection of Siewert type Ⅱ adenocarcinoma of the esophagogastric junction

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Current status of total laparoscopic radical resection of Siewert type Ⅱ adenocarcinoma of the esophagogastric junction