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G3 Thoraco-laparoscopic Ivor-Lewis AEG radical resection after neoadjuvant immuno- and chemotherapy

underocean

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56岁,女性,吞咽不适3月 胃镜:距门齿36cm可见巨大肿物表面隆起,侵及胃小弯并累及食管下段;病理:低分化腺癌。 首次MDT讨论后行新辅助免疫联合化疗4周期,复查肿瘤较前明显缩小。 再次MDT讨论后建议手术治疗,遂于全麻下行胸腹腔镜IVOR-LEWIS食管胃结合部癌根治、D1+腹腔淋巴结清扫术。 术后恢复良好,经口进食无不适,顺利出院。 连续随访>1年,一般情况良好,检查结果未见异常。

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