Yuan Yong, Chen Xinzu, Hu Jiankun, Chen Longqi
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2019 Feb 25;22(2):101-106.
The surgical treatment for adenocarcinoma of esophagogastric junction (AEG) involves thoracic and abdominal cavities. With no general consensus on the surgical treatment modality for AEG in China, the understanding and surgical practice of AEG are controversial between thoracic and gastrointestinal surgeons. Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2018 edition) was released in September 2018 by the Chinese expert panel including 19 thoracic surgeons and 20 gastrointestinal surgeons. The formulation and publication of this consensus has increased homogeneity of the understanding of the disease in different disciplines to a certain extent, and has facilitated standardized surgical treatment for adenocarcinoma of esophagogastric junction. The consensus was based on the best available clinical evidence and the latest national and international guidelines and consensus. Several rounds of discussion and voting were conducted. Finally, 27 statements on surgery-related recommendations and 9 issues requiring further investigation were reached in the consensus, which basically cover the fields and research hotspots of surgical treatment for adenocarcinoma of esophagogastric juncton. This review will explain in details the Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction.
食管胃交界腺癌(AEG)的外科治疗涉及胸腔和腹腔。在中国,对于AEG的外科治疗方式尚无普遍共识,胸外科医生和胃肠外科医生对AEG的认识及手术实践存在争议。2018年9月,由19名胸外科医生和20名胃肠外科医生组成的中国专家小组发布了《中国食管胃交界腺癌外科治疗专家共识(2018版)》。该共识的制定和发布在一定程度上提高了不同学科对该疾病认识的同质性,并促进了食管胃交界腺癌的规范化外科治疗。该共识基于现有的最佳临床证据以及最新的国内外指南和共识。经过多轮讨论和投票。最终,该共识达成了27条与手术相关的推荐声明以及9个需要进一步研究的问题,基本涵盖了食管胃交界腺癌外科治疗的领域和研究热点。本综述将详细阐述中国食管胃交界腺癌外科治疗专家共识。