引用文本：王利明, 王洋洋, 任培德, 等. 食管胃结合部癌的手术切缘[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(3):343-347.

作者：王利明，王洋洋，任培德，陈瑛罡

单位：国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院胃肠外科，广东 深圳 518116

Authors：Wang Liming, Wang Yangyang, Ren Peide, Chen Yinggang

Unit：Department of Gastrointestinal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen 518116, Guangdong, China

摘要：

实施食管胃结合部癌根治手术时，有必要保证切缘阴性与适当的淋巴结清扫范围。须确保肿瘤近切缘、远切缘以及环周切缘均为阴性。特别是近切缘，其切除的长度决定了手术入路方式和重建方式。欧美的专家主张需至少5 cm以上，但日本的专家则认为标本上2 cm（体内3 cm）的近切缘就足够。本文主要介绍不同T分期、Borrmann分型的食管胃结合部癌的最小安全切缘，以期为临床实践提供参考。

关键词：食管胃结合部癌；Siewert Ⅱ型；近切缘；环周切缘

Abstract：

When performing radical surgery for esophagogastric junction cancer, it is necessary to ensure a negative resection margin and an appropriate range of lymph node dissection. Ensure that the proximal resection margin, distal resection margin and circumferential resection margin of the tumor are negative. For the proximal margin especially, the length of which determines the surgical approach and reconstruction method. In Europe and America, it is advocated that it should be at least 5 cm or more. However, Japanese experts have found that a 2 cm (3 cm in vivo) proximal margin on the specimen is sufficient. This article aims to summarize the minimum safe margins of esophagogastric junction cancers at different T stages and Borrmann classifications, providing a reference basis for clinical practice.

Key words：Esophagogastric junction carcinoma; Siewert type Ⅱ; Proximal resection margin; Circumferential resection margin

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