...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Annals of the New York Academy of Sciences >Current surgical treatment standards for esophageal and esophagogastric junction cancer
【24h】

Current surgical treatment standards for esophageal and esophagogastric junction cancer

机译：食管和食管胃部结癌的目前外科治疗标准

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A number of different surgical techniques for the treatment of cancer of the esophagus and the esophagogastric junction have been proposed. Guidelines generally recommend a transthoracic approach for esophageal cancer, including Siewert type I tumors. In tumors of the proximal esophageal third, transthoracic esophagectomy may be extended to a three-field approach, including resection of cervical lymph nodes. However, the choice between transthoracic esophagectomy with intrathoracic anastomosis (Ivor Lewis esophagectomy) and the three-incision approach with cervical esophago-gastrostomy (McKeown esophagectomy) remains controversial, with guidelines varying among different countries. Furthermore, it is commonly accepted that Siewert type III tumors should be treated by extended total gastrectomy with transhiatal resection of the lower esophagus, whereas currently no consensus exists regarding the optimal surgical approach for the treatment of Siewert type II adenocarcinoma. Likewise, there is a major controversy regarding palliative and potentially curative treatment modalities in oligometastatic disease. This review deals with current surgical treatment standards for cancer of the esophagus and the eosphagogastric junction, including discussion of ongoing trials.
机译：提出了许多不同的外科手术技术，用于治疗食道癌和食管胃部结。准则通常建议对食管癌的抗性方法，包括Siewert I型肿瘤。在近端食管第三的肿瘤中，Transthoracic食管切除术可以扩展到三场方法，包括切除宫颈淋巴结。然而，具有胸腔内吻合术（IVOR Lewis FeOphageclectomy）和三种患有宫颈食道 - 胃术（McKeown Feophaglecoctomy）的三切口方法之间的选择仍然存在争议，不同国家之间的指导方针变化。此外，通常接受Siewert III型肿瘤，应通过延长食管的转发切除术延长的总胃切除术治疗，而目前没有关于治疗Siewert II类腺癌的最佳手术方法的共识。同样，在寡聚疾病中存在有关姑息性和潜在的治疗方法的主要争议。本综述涉及食管癌和磷癌癌症的目前的手术治疗标准，包括讨论正在进行的试验。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号