胸腹腔鏡下食管癌根治術(shù)課件

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。后來逐漸發(fā)展到完全胸腔鏡下進(jìn)行。開始他們進(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