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《食管胃交界腺癌外科治疗中国专家共识(2024年版)》解读

[Interpretation of Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction(2024 edition)].

作者信息

Liu K, Zhu Y F, Yang Y S, Chen L Q, Hu J K

机构信息

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.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Feb 25;27(2):127-131. doi: 10.3760/cma.j.cn441530-20231212-00214.

DOI:10.3760/cma.j.cn441530-20231212-00214
PMID:38413077
Abstract

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.

摘要

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。

相似文献

1
[Interpretation of Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction(2024 edition)].《食管胃交界腺癌外科治疗中国专家共识(2024年版)》解读
Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Feb 25;27(2):127-131. doi: 10.3760/cma.j.cn441530-20231212-00214.
2
[Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (Edition 2024)].《中国食管胃交界腺癌外科治疗专家共识(2024年版)》
Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Feb 25;27(2):109-126. doi: 10.3760/cma.j.cn441530-20231212-00213.
3
[Interpretation of Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2018 edition)].《食管胃交界腺癌外科治疗中国专家共识(2018版)》解读
Zhonghua Wei Chang Wai Ke Za Zhi. 2019 Feb 25;22(2):101-106.
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[Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2018 edition)].《食管胃交界腺癌外科治疗中国专家共识(2018年版)》
Zhonghua Wei Chang Wai Ke Za Zhi. 2018 Sep 25;21(9):961-975.
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[Treatment of Siewert type II adenocarcinoma of the esophagogastric junction: the perspectives from thoracic surgery].[食管胃交界部SiewertⅡ型腺癌的治疗:胸外科视角]
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Feb 25;25(2):109-113. doi: 10.3760/cma.j.cn441530-20211222-00526.
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[Retrospect of 2019: focus on the surgical treatment for adenocarcinoma of esophagogastric junction].《2019年回顾:聚焦食管胃交界腺癌的外科治疗》
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Jan 25;23(1):20-25. doi: 10.3760/cma.j.issn.1671-0274.2020.01.004.
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[Survival comparison of Siewert II adenocarcinoma of esophagogastric junction between transthoracic and transabdominal approaches:a joint data analysis of thoracic and gastrointestinal surgery].[经胸与经腹入路治疗食管胃交界部Siewert II型腺癌的生存比较:胸外科与胃肠外科联合数据分析]
Zhonghua Wei Chang Wai Ke Za Zhi. 2019 Feb 25;22(2):132-142.
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[Laparoscopic proximal gastrectomy and lymph node resection in adenocarcinoma of the esophagogastric junction].[腹腔镜下食管胃交界腺癌近端胃切除术及淋巴结清扫术]
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Feb 25;25(2):114-119. doi: 10.3760/cma.j.cn441530-20211103-00446.
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[To improve the cognition about the carcinoma of esophagogastric junction].[提高对食管胃交界部癌的认识]
Zhonghua Wei Chang Wai Ke Za Zhi. 2013 Feb;16(2):125-7.

引用本文的文献

1
Comprehensive analysis of risk factors and nomogram development for predicting hepatic metastasis following radical resection of adenocarcinoma of the esophagogastric junction.食管胃交界腺癌根治性切除术后肝转移预测的危险因素综合分析及列线图构建
BMC Gastroenterol. 2025 May 27;25(1):409. doi: 10.1186/s12876-025-04014-7.
2
Comparison of proximal gastrectomy with tubular esophagogastric anastomosis and total gastrectomy with Roux-en-Y reconstruction in the treatment of adenocarcinoma of the esophagogastric junction of Siewert type II/III at stage II.比较近端胃切除术伴管状食管胃吻合术与全胃切除术伴 Roux-en-Y 重建治疗 Siewert Ⅱ/Ⅲ型食管胃结合部腺癌Ⅱ期。
BMC Surg. 2024 Nov 30;24(1):382. doi: 10.1186/s12893-024-02685-9.