Guo X F, Leng X F, Dai L, Hiroyuki X H X, Masayuki B Y Z
Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China.
Department of Thoracic Surgery, the Affiliated Cancer Hospital, School of Medicine, University of Electronic Science and Technology of China, Sichuan Cancer Hospital, Chengdu 610041, China.
Zhonghua Wai Ke Za Zhi. 2020 Jan 1;58(1):61-69. doi: 10.3760/cma.j.issn.0529-5815.2020.01.014.
Esophageal cancer surgery originated in the early 20(th) century. However, the true meaning of trans-thoracic esophagectomy and digestive tract reconstruction began in the 1930s. Almost at the same time, Japan and Western countries began the surgical exploration of esophageal cancer. Based on the pathological type of esophageal cancer in Asia, squamous cell carcinoma is the majority, and its biological characteristics and treatment strategies are different from those of European and American patients. After more than eighty years of development, the surgical treatment of esophageal cancer in Japan has been developed from the initial attempt, deep cultivation practice to the pursuit of excellence, and explored a set of more advanced surgical techniques and diagnostic strategies, which is unique in the world. On the basis of the establishment of the Japanese Society of Esophagus, Japanese scholars have developed and irregularly updated the and published the professional academic journal . The Japanese Clinical Oncology Group organized a number of phase Ⅲ clinical studies on esophageal cancer, providing strong evidence for the diagnosis and treatment of esophageal squamous carcinoma. Focused on the origin, development, current situation and future of esophageal cancer surgery in Japan, this paper summarized the development of esophageal cancer surgery in Japan through literature review, interviews with senior experts and .
食管癌手术起源于20世纪初。然而，经胸食管切除术和消化道重建的真正意义始于20世纪30年代。几乎与此同时，日本和西方国家开始了食管癌的手术探索。基于亚洲食管癌的病理类型，鳞状细胞癌占大多数，其生物学特性和治疗策略与欧美患者不同。经过八十多年的发展，日本的食管癌外科治疗已从最初的尝试、深入的实践发展到追求卓越，并探索出一套更为先进的手术技术和诊断策略，这在世界上是独一无二的。在日本食管学会成立的基础上，日本学者制定并不定期更新了 ，并出版了专业学术期刊 。日本临床肿瘤学组组织了多项关于食管癌的Ⅲ期临床研究，为食管鳞状细胞癌的诊断和治疗提供了有力证据。本文聚焦于日本食管癌手术的起源、发展、现状及未来，通过文献综述、对资深专家的访谈以及 总结了日本食管癌手术的发展情况。
