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目前,食管胃结合部腺癌(AEG)作为一类不同于食管癌和胃癌的独立疾病的临床观点已为多数学者所接受。然而,有关AEG根治术的手术径路、切除范围、淋巴结清扫范围等问题仍存在争议。外科医师应重视临床研究结果,同时提高手术技巧。在循证医学的指导下,应综合病人全身情况、AEG类型、cTNM分期等因素,开展多学科团队治疗模式,制定合理的个体化综合治疗方案。
At present, the clinical opinion of esophagogastric junctional adenocarcinoma (AEG) as a kind of independent disease different from esophageal cancer and gastric cancer has been accepted by most scholars. However, there are still controversial issues about the surgical approach, the scope of resection and the range of lymph node dissection for AEG. Surgeons should pay attention to clinical research results, while improving surgical skills. Under the guidance of evidence-based medicine, multi-disciplinary team treatment mode should be integrated according to the general condition of the patient, type of AEG, cTNM staging and other factors to formulate a reasonable individualized comprehensive treatment plan.