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食管癌是常见的消化道肿瘤,我国是世界上食管癌高发地区之一。近年来随着技术的进步,对食管癌的诊疗水平得到较大的提高,微创食管外科也获得快速的发展,但由于该病以中老年患者为主,长期缓解率、远期生存率并不乐观。目前食管癌治疗模式已从单一的外科手术转变为在规范化手术基础上合理应用围术期放、化疗等综合治疗模式。食管癌的术前准确分期、手术方式、淋巴结清扫范围和消化道重建方式尚有很多问题存在争议。因此在遵循指南和规范的同时,
Esophageal cancer is a common gastrointestinal cancer, our country is one of the high incidence of esophageal cancer in the world. In recent years, with advances in technology, the diagnosis and treatment of esophageal cancer has been greatly improved, minimally invasive esophageal surgery has also been rapid development, but the disease is mainly in the elderly, long-term response rate, long-term survival and not optimistic. The current esophageal cancer treatment has changed from a single surgical operation to a standardized operation based on the rational use of perioperative radiotherapy and chemotherapy and other comprehensive treatment model. There are still many controversial issues about accurate preoperative esophageal cancer staging, surgical methods, lymph node dissection range and the way of reconstructing the digestive tract. Therefore, while following the guidelines and norms,