Liu K, Zhu Y F, Yang Y S, Chen L Q, Hu J K
Department of General Surgery and Gastric Cancer Center & Laboratory of Gastric Cancer, West China Hospital, Sichuan University, Chengdu 610041, China.
West China Clinical Medical College of Sichuan University, Chengdu 610041, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Feb 25;27(2):127-131. doi: 10.3760/cma.j.cn441530-20231212-00214.
Due to the unique nature of its anatomical location, the adenocarcinoma of esophagogastric junction (AEG) has been a subject of controversy and disagreement including its definition, staging, and treatment strategies. Chinse expert Consensus on Surgical Treatment of Adenocarcinoma of Esophagogastric Junction in China (2018 Edition) had been released in September 2018 and had played a pioneering role in unifying thoracic and general surgeons in China on surgical treatment strategies for AEG. Over the past five years, the emergence of several clinical research results on AEG has provided new clinical evidence for the selection of key surgical treatment strategies. Therefore, to further standardize the surgical treatment of AEG in China, Chinese Expert Consensus on Surgical Treatment of Adenocarcinoma of Esophagogastric Junction in China (2024 Edition) was released in 2024 by Chinese expert panel including 25 gastrointestinal surgeons and 24 thoracic surgeons. Based on the highest-level clinical research evidence in recent 5 years, this consensus ultimately formulates 29 recommendations on hotspots and key points on surgical treatment of AEG and summary 5 issues that are still awaiting further exploration. This review will provide a summary and detailed interpretation of the recommendations outlined in this consensus.
由于食管胃交界腺癌(AEG)独特的解剖学位置,其在定义、分期及治疗策略等方面一直存在争议。《中国食管胃交界腺癌外科治疗专家共识(2018版)》于2018年9月发布,在统一我国胸外科和普通外科医师对AEG外科治疗策略方面发挥了开创性作用。在过去五年中,多项关于AEG的临床研究结果出现,为关键手术治疗策略的选择提供了新的临床证据。因此,为进一步规范我国AEG的外科治疗,由25名胃肠外科医师和24名胸外科医师组成的中国专家小组于2024年发布了《中国食管胃交界腺癌外科治疗专家共识(2024版)》。基于近5年最高级别的临床研究证据,本共识最终制定了29条关于AEG外科治疗热点和关键点的推荐意见,并总结了5个仍有待进一步探索的问题。本综述将对该共识中列出的推荐意见进行总结和详细解读。