食管癌的微創(chuàng)外科食管癌的微創(chuàng)外科1HistoryandForeignExperience*1946年Ⅳor-lewis提出經(jīng)腹和右胸聯(lián)合手術(shù)治療中段食管癌,開(kāi)始手術(shù)分為2期,即先經(jīng)腹完成胃的游離,然后1~2周后再2期經(jīng)右胸游離和切除食管,并胃代食管在胸內(nèi)吻合。HistoryandForeignExperience2THOREANNALRORYAJamesD.Luketich,PhilipR.sinnThoracSurg20000906094HiranC.Femando,RobertJ.KeenanandNORIGINALARTICLES:GENERALTHORACICMinimallyInvasiveEsophagectomyJamesD.Luketich,MD,PhiliprSchauer,MD,NeilAChristie,MDTraceyL.WeigeL,MD,SivaRaja,BS,HiranC.Fernando,MD,RobertJ.Keenan,MDandNinhTNguyen,MDandtheMinimallyInvasiveSurgeryCenter,UniversityofPittsburghMedicalCenterHealthSystem,THOREANNALRORYA3*2000年美國(guó)匹茲堡大學(xué)胸部外科和微創(chuàng)外科中心J.D.Luketich等在AnnThoracSurg上報(bào)導(dǎo)2019-2019年對(duì)77位患者進(jìn)行了minimallyinvasiveesophagectomy,MIEo*2000年美國(guó)匹茲堡大學(xué)胸部外科和微創(chuàng)外4開(kāi)始他們進(jìn)行了完全腹腔鏡下的胃游離,然后利用mini-thoracotomy進(jìn)行食管游離、切除和胃代食管的胸內(nèi)吻合。后來(lái)逐漸發(fā)展到完全胸腔鏡下進(jìn)行。開(kāi)始他們進(jìn)行了完全腹腔鏡下的胃游離,5胸腹腔鏡下食管癌根治術(shù)課件6●●7胸腹腔鏡下食管癌根治術(shù)課件8=jurDm=jur9胸腹腔鏡下食管癌根治術(shù)課件10胸腹腔鏡下食管癌根治術(shù)課件11胸腹腔鏡下食管癌根治術(shù)課件12胸腹腔鏡下食管癌根治術(shù)課件13胸腹腔鏡下食管癌根治術(shù)課件14胸腹腔鏡下食管癌根治術(shù)課件15胸腹腔鏡下食管癌根治術(shù)課件16胸腹腔鏡下食管癌根治術(shù)課件17胸腹腔鏡下食管癌根治術(shù)課件18胸腹腔鏡下食管癌根治術(shù)課件19胸腹腔鏡下食管癌根治術(shù)課件20胸腹腔鏡下食管癌根治術(shù)課件21胸腹腔鏡下食管癌根治術(shù)課件22胸腹腔鏡下食管癌根治術(shù)課件23胸腹腔鏡下食管癌根治術(shù)課件24胸腹腔鏡下食管癌根治術(shù)課件25胸腹腔鏡下食管癌根治術(shù)課件26胸腹腔鏡下食管癌根治術(shù)課件27胸腹腔鏡下食管癌根治術(shù)課件28胸腹腔鏡下食管癌根治術(shù)課件29胸腹腔鏡下食管癌根治術(shù)課件30胸腹腔鏡下食管癌根治術(shù)課件31胸腹腔鏡下食管癌根治術(shù)課件32胸腹腔鏡下食管癌根治術(shù)課件33胸腹腔鏡下食管癌根治術(shù)課件34胸腹腔鏡下食管癌根治術(shù)課件35胸腹腔鏡下食管癌根治術(shù)課件36胸腹腔鏡下食管癌根治術(shù)課件37胸腹腔鏡下食管癌根治術(shù)課件38胸腹腔鏡下食管癌根治術(shù)課件39胸腹腔鏡下食管癌根治術(shù)課件40胸腹腔鏡下食管癌根治術(shù)課件41胸腹腔鏡下食管癌根治術(shù)課件42胸腹腔鏡下食管癌根治術(shù)課件43胸腹腔鏡下食管癌根治術(shù)課件44胸腹腔鏡下食管癌根治術(shù)課件45胸腹腔鏡下食管癌根治術(shù)課件46胸腹腔鏡下食管癌根治術(shù)課件47胸腹腔鏡下食管癌根治術(shù)課件48胸腹腔鏡下食管癌根治術(shù)課件49胸腹腔鏡下食管癌根治術(shù)課件50胸腹腔鏡下食管癌根治術(shù)課件51胸腹腔鏡下食管癌根治術(shù)課件52胸腹腔鏡下食管癌根治術(shù)課件53胸腹腔鏡下食管癌根治術(shù)課件54胸腹腔鏡下食管癌根治術(shù)課件55胸腹腔鏡下食管癌根治術(shù)課件56胸腹腔鏡下食管癌根治術(shù)課件57胸腹腔鏡下食管癌根治術(shù)課件58胸腹腔鏡下食管癌根治術(shù)課件59胸腹腔鏡下食管癌根治術(shù)課件60胸腹腔鏡下食管癌根治術(shù)課件61胸腹腔鏡下食管癌根治術(shù)課件62胸腹腔鏡下食管癌根治術(shù)課件63胸腹腔鏡下食管癌根治術(shù)課件64胸腹腔鏡下食管癌根治術(shù)課件65胸腹腔鏡下食管癌根治術(shù)課件66胸腹腔鏡下食管癌根治術(shù)課件67胸腹腔鏡下食管癌根治術(shù)課件68胸腹腔鏡下食管癌根治術(shù)課件69胸腹腔鏡下食管癌根治術(shù)課件70胸腹腔鏡下食管癌根治術(shù)課件71胸腹腔鏡下食管癌根治術(shù)課件72胸腹腔鏡下食管癌根治術(shù)課件73胸腹腔鏡下食管癌根治術(shù)課件74胸腹腔鏡下食管癌根治術(shù)課件75胸腹腔鏡下食管癌根治術(shù)課件76胸腹腔鏡下食管癌根治術(shù)課件77胸腹腔鏡下食管癌根治術(shù)課件78胸腹腔鏡下食管癌根治術(shù)課件79胸腹腔鏡下食管癌根治術(shù)課件80胸腹腔鏡下食管癌根治術(shù)課件81胸腹腔鏡下食管癌根治術(shù)課件82胸腹腔鏡下食管癌根治術(shù)課件83胸腹腔鏡下食管癌根治術(shù)課件84胸腹腔鏡下食管癌根治術(shù)課件85胸腹腔鏡下食管癌根治術(shù)課件86胸腹腔鏡下食管癌根治術(shù)課件87胸腹腔鏡下食管癌根治術(shù)課件88食管癌的微創(chuàng)外科食管癌的微創(chuàng)外科89HistoryandForeignExperience*1946年Ⅳor-lewis提出經(jīng)腹和右胸聯(lián)合手術(shù)治療中段食管癌,開(kāi)始手術(shù)分為2期,即先經(jīng)腹完成胃的游離,然后1~2周后再2期經(jīng)右胸游離和切除食管,并胃代食管在胸內(nèi)吻合。HistoryandForeignExperience90THOREANNALRORYAJamesD.Luketich,PhilipR.sinnThoracSurg20000906094HiranC.Femando,RobertJ.KeenanandNORIGINALARTICLES:GENERALTHORACICMinimallyInvasiveEsophagectomyJamesD.Luketich,MD,PhiliprSchauer,MD,NeilAChristie,MDTraceyL.WeigeL,MD,SivaRaja,BS,HiranC.Fernando,MD,RobertJ.Keenan,MDandNinhTNguyen,MDandtheMinimallyInvasiveSurgeryCenter,UniversityofPittsburghMedicalCenterHealthSystem,THOREANNALRORYA91*2000年美國(guó)匹茲堡大學(xué)胸部外科和微創(chuàng)外科中心J.D.Luketich等在AnnThoracSurg上報(bào)導(dǎo)2019-2019年對(duì)77位患者進(jìn)行了minimallyinvasiveesophagectomy,MIEo*2000年美國(guó)匹茲堡大學(xué)胸部外科和微創(chuàng)外92開(kāi)始他們進(jìn)行了完全腹腔鏡下的胃游離,然后利用mini-thoracotomy進(jìn)行食管游離、切除和胃代食管的胸內(nèi)吻合。后來(lái)逐漸發(fā)展到完全胸腔鏡下進(jìn)行。開(kāi)始他們進(jìn)行了完全腹腔鏡下的胃游離,93胸腹腔鏡下食管癌根治術(shù)課件94●●95胸腹腔鏡下食管癌根治術(shù)課件96=jurDm=jur97胸腹腔鏡下食管癌根治術(shù)課件98胸腹腔鏡下食管癌根治術(shù)課件99胸腹腔鏡下食管癌根治術(shù)課件100胸腹腔鏡下食管癌根治術(shù)課件101胸腹腔鏡下食管癌根治術(shù)課件102胸腹腔鏡下食管癌根治術(shù)課件103胸腹腔鏡下食管癌根治術(shù)課件104胸腹腔鏡下食管癌根治術(shù)課件105胸腹腔鏡下食管癌根治術(shù)課件106胸腹腔鏡下食管癌根治術(shù)課件107胸腹腔鏡下食管癌根治術(shù)課件108胸腹腔鏡下食管癌根治術(shù)課件109胸腹腔鏡下食管癌根治術(shù)課件110胸腹腔鏡下食管癌根治術(shù)課件111胸腹腔鏡下食管癌根治術(shù)課件112胸腹腔鏡下食管癌根治術(shù)課件113胸腹腔鏡下食管癌根治術(shù)課件114胸腹腔鏡下食管癌根治術(shù)課件115胸腹腔鏡下食管癌根治術(shù)課件116胸腹腔鏡下食管癌根治術(shù)課件117胸腹腔鏡下食管癌根治術(shù)課件118胸腹腔鏡下食管癌根治術(shù)課件119胸腹腔鏡下食管癌根治術(shù)課件120胸腹腔鏡下食管癌根治術(shù)課件121胸腹腔鏡下食管癌根治術(shù)課件122胸腹腔鏡下食管癌根治術(shù)課件123胸腹腔鏡下食管癌根治術(shù)課件124胸腹腔鏡下食管癌根治術(shù)課件125胸腹腔鏡下食管癌根治術(shù)課件126胸腹腔鏡下食管癌根治術(shù)課件127胸腹腔鏡下食管癌根治術(shù)課件128胸腹腔鏡下食管癌根治術(shù)課件129胸腹腔鏡下食管癌根治術(shù)課件130胸腹腔鏡下食管癌根治術(shù)課件131胸腹腔鏡下食管癌根治術(shù)課件132胸腹腔鏡下食管癌根治術(shù)課件133胸腹腔鏡下食管癌根治術(shù)課件134胸腹腔鏡下食管癌根治術(shù)課件135胸腹腔鏡下食管癌根治術(shù)課件136胸腹腔鏡下食管癌根治術(shù)課件137胸腹腔鏡下食管癌根治術(shù)課件138胸腹腔鏡下食管癌根治術(shù)課件139胸腹腔鏡下食管癌根治術(shù)課件140胸腹腔鏡下食管癌根治術(shù)課件141胸腹腔鏡下食管癌根治術(shù)課件142胸腹腔鏡下食管癌根治術(shù)課件143胸腹腔鏡下食管癌根治術(shù)課件144胸腹腔鏡下食管癌根治術(shù)課件145胸腹腔鏡下食管癌根治術(shù)課件146胸腹腔鏡下食管癌根治術(shù)課件147胸腹腔鏡下食管癌根治術(shù)課件148胸腹腔鏡下食管癌根治術(shù)課件149胸腹腔鏡下食管癌根治術(shù)課件150胸腹腔鏡下食管癌根治術(shù)課件151胸腹腔鏡下食管癌根治術(shù)課件152胸腹腔鏡下食管癌根治術(shù)課件153胸腹腔鏡下食管癌根治術(shù)課件154胸腹腔鏡下食管癌根治術(shù)課件155胸腹腔鏡下食管癌根治術(shù)課件156胸腹腔鏡下食管癌根治術(shù)課件157胸腹腔鏡下食管癌根治術(shù)課件158胸腹腔鏡下食管癌根治術(shù)課件159胸腹腔鏡下食管癌根治術(shù)課件160胸腹腔鏡下食管癌根治術(shù)課件161胸腹腔鏡下食管癌根治術(shù)課件162胸腹腔鏡下食管癌根治術(shù)課件163胸