The length of proximal margin does not influence the prognosis of Siewert type II/III adenocarcinoma of esophagogastric junction after transhiatal curative gastrectomy

被引：11

作者：

Feng, Fan ^{[1
]}

Tian, Yangzi ^{[2
]}

Xu, Guanghui ^{[1
]}

Liu, Shushang ^{[1
]}

Liu, Zhen ^{[1
]}

Zheng, Gaozan ^{[1
]}

Guo, Man ^{[1
]}

Lian, Xiao ^{[1
]}

Fan, Daiming ^{[1
]}

Zhang, Hongwei ^{[1
]}

机构：

[1] Fourth Mil Med Univ, Xijing Hosp, Dept Digest Surg, 127 West Changle Rd, Xian 710032, Shaanxi, Peoples R China

[2] Fourth Mil Med Univ, Xijing Hosp, Dept Dermatol, 127 West Changle Rd, Xian 710032, Shaanxi, Peoples R China

来源：

SPRINGERPLUS | 2016年 / 5卷

关键词：

Proximal margin; Siewert type; Adenocarcinoma of esophagogastric junction; Prognosis; LYMPH-NODE METASTASIS; III ADENOCARCINOMAS; SURGICAL-TREATMENT; RESECTION MARGIN; GASTRIC-CANCER; ESOPHAGUS; CARDIA; EXTENT;

D O I：

10.1186/s40064-016-2240-3

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Background: The optimal length of proximal margin for Siewert type II/III adenocarcinoma of the esophagogastric junction (AEJ) is still need to be clarified. The aim of the present study was to investigate the appropriate length of proximal margin for Siewert type II/III AEJ through transhiatal approach. Methods: From September 2009 to December 2014, a total of 693 consecutive patients with Siewert type II/III AEJ were retrospectively analyzed. All patients received transhiatal R0 resection. The proximal margin length was measured immediately after resection. The prognostic value of proximal margin length on Siewert type II/III AEJ with transhiatal approach was analyzed. Results: There were 404 cases of Siewert type II AEJ (58.3 %) and 289 cases of Siewert type III AEJ (41.7 %). Total gastrectomy was performed in 526 patients (75.9 %), and proximal gastrectomy was performed in 167 patients (24.1 %). The median length of the gross proximal margin was 2.4 (range 0.1-5.0) cm. Lymph node metastasis was the only independent prognostic predictor for Siewert type II AEJ. Tumor size and lymph node metastasis were independent prognostic predictors for Siewert type III AEJ. Conclusions: For Siewert type II/III AEJ with esophageal invasion of 3 cm or less, proximal margin length does not influence the prognosis of patients after transhiatal curative gastrectomy.

引用

页数：6

共 23 条

[1]

[Anonymous], 2007, ANN THORAC SURG

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