Expert Forum
Analysis of the clinical confusion and controversy of esophagogastric junction tumor from basic anatomy
Tao Kai, Ren Yipeng, Li Linjie, Gao Fei, Wang Yi, Huang Qingxing, Dong Jianhong, Wang Dong, Zhang Zhongtao
Published 2021-05-01
Cite as Chin J Surg, 2021, 59(5): 324-327. DOI: 10.3760/cma.j.cn112139-20210204-00066
Abstract
There are still many controversies in the surgical treatment of esophagogastric junction tumors in terms of surgical approach, cleaning range, and resection scope. The reason is the confusion about the scope of the esophagogastric junction. The previous domestic and foreign anatomy descriptions of this part are not enough to solve the current problems. Based on a large number of basic anatomy and clinical operations, this article proposes that the esophagogastric junction may be wrapped by a complete and separate esophagogastric junction membrane with independent anatomy other than infracardiac bursa. The structure of the transitional tissue, mainly from the distribution of submucosal veins, explained the relationship and significance of tissue transitional changes and clinical operations, and made a reasonable analysis of the current controversy based on the anatomical characteristics, which is worthy of further investigation.
Key words:
Esophagogastric junction; Anatomy, regional; Esophageal neoplasms; Stomach neoplasms; Gastrectomy
Contributor Information
Tao Kai
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Ren Yipeng
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Li Linjie
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Gao Fei
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Wang Yi
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Huang Qingxing
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Dong Jianhong
Department of Digestive Minimally Invasive Surgery, Shanxi Provincial Tumor Hospital, Affiliated Tumor Hospital of Shanxi Medical University, Taiyuan 030013, China
Wang Dong
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University
Key Laboratory of Cancer Invasion and Metastasis Research &
National Clinical Research Center for Digestive Diseases, Beijing
Clinical Practice and Research Center for Colorectal Cancer, Capital Medical University, Beijing 100050, China
Zhang Zhongtao
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University
Key Laboratory of Cancer Invasion and Metastasis Research &
National Clinical Research Center for Digestive Diseases, Beijing
Clinical Practice and Research Center for Colorectal Cancer, Capital Medical University, Beijing 100050, China
