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腹腔镜技术在食管胃结合部腺癌(AEG)中的运用是基于Siewert分型系统的指导进行的。经过十余年的临床实践,腹腔镜手术已经在AEG的治疗中显示出了一定的活力。其手术的安全性及对于相对早期肿瘤的疗效已经得到证实。但是由于该肿瘤部位和生物学特性,目前尚缺乏大规模、多中心的前瞻性临床研究来判断腹腔镜技术在其治疗中的价值和地位。外科医师应严格选择合适病例,严格遵循恶性肿瘤手术的根治原则,以发挥腹腔镜技术的微创优势,并取得与传统手术相当的远期疗效。
The use of laparoscopy in esophagogastric junctional adenocarcinoma (AEG) was based on the guidance of the Siewert typing system. After more than ten years of clinical practice, laparoscopic surgery has shown some vitality in the treatment of AEG. The safety of its surgery and the efficacy of relatively early tumors have been confirmed. However, due to the location and biological characteristics of the tumor, there is still no large-scale, multi-center prospective clinical study to determine the value and status of laparoscopy in its treatment. Surgeons should strictly select the appropriate cases, strictly follow the principle of radical operation of malignant tumors in order to play the advantages of minimally invasive laparoscopic techniques and achieve long-term results with the traditional surgery.