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1技术背景介绍食管胃交界部腺癌(adenocacinoma of the esophagogastric junction,AEG)的治疗充满争议,尤其是SiewertⅡ型AEG,由于其解剖位置特殊,手术方式尚无定论,胸外科多采用左胸或胸腹联合切口入路、近端胃大部切除残胃食管吻合术,但创伤大、并发症多、术后胃食管反流重、生活质量差,普通外科多采用经腹入路、全胃切除空肠重建术,存
1 Background The treatment of adenocarcinoma of the esophagogastric junction (AEG) is controversial, especially Siewert type Ⅱ AEG. Because of its special anatomical location, there is no conclusion about the surgical method. Thoracic surgery is usually performed on the left chest or chest Abdominal incision approach, the proximal gastrectomy residual esophageal anastomosis, but trauma, complications, postoperative gastroesophageal reflux weight, poor quality of life, general surgery and more use of transabdominal approach, total gastrectomy Jejunal reconstruction, save