摘要
食管胃结合部腺癌（AEG）的发病率呈现明显上升趋势。由于该疾病解剖部位的特殊性，其定义、分型、分期、手术路径、切除范围、淋巴结清扫规范、新辅助治疗等尚存在诸多争议。本共识旨在增强我国胸外科和胃肠外科医生对该疾病认识的同质性．以期规范AEG的外科治疗方式。本共识的达成基于当前最佳临床研究证据，参考最新国际指南与共识，结合中国外科专家组意见。针对上述争议领域．本共识共提出27项AEG外科治疗相关的推荐陈述．以及9项尚属于外科治疗相关待探索的问题。在本共识中未解决的相关问题，尚需积极开展高质量的临床研究逐步探索和解决。
Incidence of adenocarcinoma of esophago- gastric junction （AEG） in China presents an obviously increasing trend. Due to the particular anatomic site, its definition, classification, staging, surgical approach, resection pattern, extent of lymphadenectomy, and neoadjuvant therapy, etc. remain controversial. The goal of this expert consensus is to improve the homogeneity in understanding and practice among Chinese thoracic and gastrointestinal surgeons, and to further standardize surgical treatment of AEG. This consensus was generated based on the best available clinical evidence, the latest global guidelines or consensuses, and the agreement from the Chinese expert panel. The panel composed of 19 thoracic surgeons and 20 gastrointestinal surgeons nationwide. Delphi technique was used to generate agreement rates and revision details. In the fields of aforementioned controversies, the present consensus produced 27 statements on surgical treatment-related recommendations for AEG, as well as 9 issues as investigational surgical concerns. The present consensus consists of 7 parts： （1） definition and classification of AEG; （2） surgical approach; （3） minimally invasive surgery; （4） pattern and extent of resection; （5） combined organ resection; （6） lymph node group and lymphadenectomy standard; and （7） neoadjuvant therapy. Pending issues in this consensus need further high- quality clinical research.
作者
国际食管疾病学会中国分会(cSDE)食管胃结合部疾病跨界联盟
中国医师协会内镜医师分会腹腔镜外科专业委员会
中国医师协会外科医师分会上消化道外科医师专业委员会
中华医学会肿瘤分会胃肠肿瘤学组
Multidisciplinary Union for Esophagogastric Junction Diseases of Chinese Society for Diseases of the Esophagus(CSDE;Laparoscopic Surgery Committee of the Endascopist Branch in the Chinese Medical Doctor Association（CMDA;Upper Digestive Tract Surgeons Committee of the Surgeon Branch in the Chinese Medical Doctor Association（CMDA;Gastrointestinal Oncology Group of the Oncology Branch in the Chinese Medical Association（CM)
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2018年第9期961-975,共15页
Chinese Journal of Gastrointestinal Surgery
基金
国家高技术研究发展计划（863计划）（2015AA020306）
四川省青年科技创新研究团队（2015TD0009）
四川省科技厅国际合作与交流项目（2013HH0060、2018HH0150）
四川大学华西医院学科卓越发展1·3·5工程项目（ZY2017304）
关键词
食管胃结合部腺癌
食管肿瘤
胃肿瘤
外科
淋巴结清扫
Adenocarcinoma of esophagogastricjunction
Esophageal cancer
Gastric cancer
Surgery
Lymphadeneetomy
作者简介
通信作者:陈龙奇(四川大学华西医院胸外科),Email:drchen1q@163.com;通信作者:胡建昆(四川大学华西医院胃肠外科&胃癌研究室),Email:hujkwch@126.com;通信作者:季加孚(北京大学肿瘤医院胃肠外科.北京市肿瘤防治研究所,教育部恶性肿瘤发病机制及转化重点实验室),Email:jijiafu@hsc.pku.edu.cn;通信作者:于振涛(天津医科大学附属天津市肿瘤医院食管肿瘤科),Email:vuzhtao@hotmail.COm
