食管胃结合部腺癌外科治疗中国专家共识(2018年版)解读  

Interpretation of Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2018 edition)

作　　者：袁勇[1] 陈心足[2] 胡建昆[2] 陈龙奇[1] Yuan Yong;Chen Xinzu;Hu Jiankun;Chen Longqi(Department of Thoracic Surgery,West China Hospital, Sichuan University,Chengdu 610041,China;Department of Gastrointestinal Surgery,West China Hospital,Sichnan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院胸外科,成都610041 [2]四川大学华西医院胃肠外科,成都610041

出　　处：《中华胃肠外科杂志》2019年第2期101-106,共6页Chinese Journal of Gastrointestinal Surgery

基　　金：国家自然科学基金(81500419、30770982);四川省科技厅国际合作与交流项目(2018HH0150、2013HH0060).

摘　　要：食管胃结合部腺癌的外科治疗涉及胸腔与腹腔两大解剖区域,不同专业对该疾病的认识及外科治疗策略选择差异较大,国内尚缺乏统一公认的外科治疗规范。由于食管胃结合部腺癌的最佳治疗模式需要胸外科、胃肠外科和肿瘤科的多学科协作制定,因此,于2018年9月发布了由19位胸外科和20位胃肠外科知名专家共同制订的《食管胃结合部腺癌外科治疗中国专家共识(2018年版)》。本共识的制订与发布在一定程度上增加了不同学科对该疾病认识的同质性,更利于食管胃结合部腺癌的规范化外科治疗。该共识的制订过程中参考现有高质量临床研究证据及国际国内相关指南,并进行了多轮讨论与投票,最终形成了27项食管胃结合部腺癌外科治疗相关的推荐陈述,并提出了9项尚待探索的外科问题,基本涵盖了食管胃结合部腺癌外科治疗相关领域与研究热点。本文将针对该共识的推荐陈述进行总结和详细解读。The surgical treatment for adenocarcinoma of esophagogastric junction (AEG) involves thoracic and abdominal cavities. With no general consensus on the surgical treatment modality for AEG in China, the understanding and surgical practice of AEG are controversial between thoracic and gastrointestinal surgeons. Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction (2018 edition) was released in September 2018 by the Chinese expert panel including 19 thoracic surgeons and 20 gastrointestinal surgeons. The formulation and publication of this consensus has increased homogeneity of the understanding of the disease in different disciplines to a certain extent, and has facilitated standardized surgical treatment for adenocarcinoma of esophagogastric junction. The consensus was based on the best available clinical evidence and the latest national and international guidelines and consensus. Several rounds of discussion and voting were conducted. Finally, 27 statements on surgery-related recommendations and 9 issues requiring further investigation were reached in the consensus, which basically cover the fields and research hotspots of surgical treatment for adenocarcinoma of esophagogastric juncton. This review will explain in details the Chinese expert consensus on the surgical treatment for adenocarcinoma of esophagogastric junction.

关 键 词：食管胃结合部腺癌 外科 专家共识 解读 

分 类 号：R735[医药卫生—肿瘤]