以外科手术为主的局部晚期食管癌多学科治疗策略的研究进展  

Research progress of multidisciplinary treatment strategy for locally advanced esophageal cancer based on surgery

作　　者：鲍峰[1] 车云 吴宗阳[1] 元及 佘明金[3] BAO Feng;CHE Yun;WU Zong-yang;YUAN Ji;SHE Ming-jin(The Third Department of Surgery,Anhui Armed Police Corps Hospital,Hefei 230001,Anhui,China;National Cancer Center,Cancer Hospital of Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100021,China;Department of Oncology,Anhui Armed Police Corps Hospital,Hefei 230001,Anhui,China)

机构地区：[1]武警安徽省总队医院外三科,合肥230001 [2]国家癌症中心,中国医学科学院北京协和医学院肿瘤医院,北京100021 [3]武警安徽省总队医院肿瘤科,合肥230001

出　　处：《中国临床医学》2023年第3期547-552,共6页Chinese Journal of Clinical Medicine

基　　金：中央高校基本科研业务费专项基金(3332020022);中国癌症基金会北京马拉松专项基金(LC2019B18)。

摘　　要：食管癌属于侵袭性很强的消化道恶性肿瘤之一。局部晚期食管癌的多学科治疗策略中外科手术扮演了重要的角色。随着术前诊断、辅助治疗、手术方式、术后管理的发展和进步,更多的食管癌患者从手术中获益。东西方国家对食管癌的治疗策略有一定差异,作为食管癌高发区域的中国和日本更强调综合治疗中手术的彻底性。本文就食管癌切除术的4个相关主题进行论述,回顾局部晚期食管癌多学科治疗的现状和未来展望,以期为获得更满意的肿瘤控制和生存预后策略提供参考。Esophageal cancer is one of the most aggressive gastrointestinal malignancies.Surgery plays an important role in the multidisciplinary treatment strategy for locally advanced esophageal cancer,which has been proved by several clinical trials.With the development and advancement in preoperative diagnosis,adjuvant treatment,surgical methods and postoperative management,more and more patients with esophageal cancer benefit from surgery.There are some differences in the treatment strategies of esophageal cancer between the East and the West countries.As countries with high prevalence of esophageal cancer,China and Japan are more focused on surgical thoroughness in the comprehensive treatment.This paper discusses four related topics of esophagectomy,and reviews the current situation and future prospects of multidisciplinary treatment of locally advanced esophageal cancer,in order to provide reference for more effective tumor control,better survival rate and favorable prognosis for these patients.

关 键 词：食管癌 多学科治疗 食管癌切除术 

分 类 号：R655.4[医药卫生—外科学]