Как выбрать хирургическую тактику для рака пищеводно-желудочного перехода?

Как выбрать хирургическую тактику для рака пищеводно-желудочного перехода?

Автор: Seto Yasuyuki, Yamashita Hiroharu

Журнал: Клиническая практика @clinpractice

Рубрика: Дискуссия

Статья в выпуске: 4 т.10, 2019 года.

Бесплатный доступ

Стандартная хирургия для опухолей пищеводно-желудочного соединения, особенно для аденокарциномы, до сих пор остается спорной. Различные способы были предложены и разрешены для опухолей Siewert типа II. Решение об объеме резекции и размере отступов с каждой стороны определяет выбор той или иной операции. Вместе с тем недавно было показано, что приоритетным фактором в выборе способа резекции является длина инвазии для каждой стороны (пищевода и желудка), потому что это определяет частоту и локализацию метастазирования в лимфатические узлы, которые должны быть удалены. При проксимальной гастрэктомии важным фактором является также размер культи желудка.

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Рак эзофагогастрального перехода, хирургическое лечение, гастрэктомия, реконструкция

Короткий адрес: https://sciup.org/143170801

IDR: 143170801   |   DOI: 10.17816/clinpract19064

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