Zhonghua Zhong Liu Za Zhi. 2023 Oct 23;45(10):871-878. doi: 10.3760/cma.j.cn112152-20230330-00136.
Surgical resection remains the cornerstone of the multidisciplinary treatment for patient with localized esophageal cancer. Lymphadenectomy is a pivotal step of radical esophagectomy, which is advanced technique required. Although the consensus on mediastinal lymph node dissection in the radical esophagectomy had been published in China, no agreement or consensus are available on the abdominal lymph node dissection. Based on the latest guidelines or consensuses, available clinical evidence, and agreements from Chinese expert panel of abdominal lymph node dissection in the radical esophagectomy, Chinese Society of Esophageal Cancer, China Anti-cancer Association organized experts to discuss and write this consensus. The expert consensus focuses on the key points of and makes recommendations for surgical approach, extent of lymphadenectomy, quality control and complication management for abdominal lymph node dissection in the radical esophagectomy in China. Applying a standard and efficient abdominal lymph node dissection in the radical surgical resection for patient with esophageal cancer is important and indispensable.
手术切除仍然是局限性食管癌患者多学科治疗的基石。淋巴结清扫是根治性食管切除术的关键步骤，是一项必需的先进技术。尽管我国已发表了关于根治性食管切除术中纵隔淋巴结清扫的共识，但对于腹部淋巴结清扫尚无一致意见或共识。基于最新的指南或共识、现有的临床证据以及中国食管癌根治性切除术中腹部淋巴结清扫专家小组的意见，中国抗癌协会食管癌专业委员会组织专家进行讨论并撰写了本共识。本专家共识聚焦于我国根治性食管切除术中腹部淋巴结清扫的手术方式、淋巴结清扫范围、质量控制及并发症处理等要点并提出建议。在食管癌患者的根治性手术切除中应用标准化、高效的腹部淋巴结清扫至关重要且不可或缺。
