Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Feb 25;27(2):109-126. doi: 10.3760/cma.j.cn441530-20231212-00213.
The publication of Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2018 edition) has widely accelerated the standardization and homogenization on the surgical treatment of adenocarcinoma of esophagogastric junction (AEG). In China, the surgical outcomes of AEG, the universality and practicability of this consensus has also been affirmed after the clinical practice during the past 5 years. Due to the persistent increasing incidence of AEG, the specificity on anatomic site, clinicopathological characteristics, molecular biological characteristics, AEG had been always the hotspot of many clinical trials and more clinical evidences had been published. However, its definition, classification, staging, surgical approach, resection pattern, extent of lymphadenectomy, and the digestive tract reconstruction etc. remain controversial. In light of the above, it is necessary to update the 2018 edition of consensus. The Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2024 edition) is generated based on the currently available and best clinical evidence, the latest global guidelines or consensuses, and the opinions from the Chinese expert panel. The present consensus focuses on the key points of surgical treatment and issues in dispute, and provides scientific recommendations. The goal of this expert consensus was to improve the homogeneity in understanding and practice between Chinese thoracic and gastrointestinal surgeons, and to further standardize surgical treatment of AEG. Those pending issues in this consensus need high-quality clinical research to further investigate.
《中国食管胃交界腺癌外科治疗专家共识（2018版）》的发布极大地推动了食管胃交界腺癌（AEG）外科治疗的标准化和同质化。在中国，AEG的外科治疗效果以及该共识在过去5年临床实践后的通用性和实用性也得到了肯定。由于AEG的发病率持续上升，其解剖部位、临床病理特征、分子生物学特征的特殊性，AEG一直是众多临床试验的热点，也发表了更多临床证据。然而，其定义、分类、分期、手术方式、切除模式、淋巴结清扫范围以及消化道重建等仍存在争议。鉴于此，有必要更新2018版共识。《中国食管胃交界腺癌外科治疗专家共识（2024版）》是基于当前可得的最佳临床证据、最新的全球指南或共识以及中国专家小组的意见制定的。本共识聚焦于外科治疗的关键点和争议问题，并提供科学建议。本专家共识的目标是提高中国胸外科和胃肠外科医生在认识和实践上的同质性，并进一步规范AEG的外科治疗。本共识中那些悬而未决的问题需要高质量的临床研究进一步探究。
