Understanding of the lower mediastinal lymph node dissection in the adenocarcinoma of the esophagogastric junction through abdomino-transhiatal approach

Hu, W.Q.; Cui, P.; Zhang, J.J.; Zhao, Z.Q.; Xu, J.W.; Liu, X.M.; Wang, J.; Niu, R.L.; Liu, Y.; Hu, W.Q; Cui, P; Zhang, J.J; Zhao, Z.Q; Xu, J.W; Liu, X.M; Wang, J; Niu, R.L; Liu, Y

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Understanding of the lower mediastinal lymph node dissection in the adenocarcinoma of the esophagogastric junction through abdomino-transhiatal approach

Hu, W.Q.; Cui, P.; Zhang, J.J.; Zhao, Z.Q.; Xu, J.W.; Liu, X.M.; Wang, J.; Niu, R.L.; Liu, Y.

Zhonghua Wei Chang Wai Ke Za Zhi 22(10): 932-936

2019

ISSN/ISBN: 1671-0274

PMID: 31630489

Document Number: 698970

近年来，食管胃结合部腺癌（AEG）的发病率在上升。Siewert Ⅱ、Ⅲ型AEG侵犯食管下段2~4 cm，有较高的下纵隔淋巴结转移率，经食管裂孔入路进行下纵隔淋巴结清扫是较佳选择；经食管裂孔进入下纵隔后，向上游离大约6.5 cm长的食管及周围淋巴结缔组织即可完成下纵隔淋巴结的清扫。以心下囊为标识，可以提高下纵隔完整清扫的安全性和可操作性。食管胃结合部的全系膜切除，可整体清扫下纵隔淋巴结，符合肿瘤学安全性原则。.