胸腹腔镜下食管癌根治术课件

食管癌的微创外科食管癌的微创外科1HistoryandForeignExperience*1946年Ⅳor-lewis提出经腹和右胸联合手术治疗中段食管癌,开始手术分为2期,即先经腹完成胃的游离,然后1~2周后再2期经右胸游离和切除食管,并胃代食管在胸内吻合。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年美国匹兹堡大学胸部外科和微创外科中心J.D.Luketich等在AnnThoracSurg上报导2019-2019年对77位患者进行了minimallyinvasiveesophagectomy,MIEo*2000年美国匹兹堡大学胸部外科和微创外4开始他们进行了完全腹腔镜下的胃游离,然后利用mini-thoracotomy进行食管游离、切除和胃代食管的胸内吻合。后来逐渐发展到完全胸腔镜下进行。开始他们进行了完全腹腔镜下的胃游离,5胸腹腔镜下食管癌根治术课件6●●7胸腹腔镜下食管癌根治术课件8=jurDm=jur9胸腹腔镜下食管癌根治术课件10胸腹腔镜下食管癌根治术课件11胸腹腔镜下食管癌根治术课件12胸腹腔镜下食管癌根治术课件13胸腹腔镜下食管癌根治术课件14胸腹腔镜下食管癌根治术课件15胸腹腔镜下食管癌根治术课件16胸腹腔镜下食管癌根治术课件17胸腹腔镜下食管癌根治术课件18胸腹腔镜下食管癌根治术课件19胸腹腔镜下食管癌根治术课件20胸腹腔镜下食管癌根治术课件21胸腹腔镜下食管癌根治术课件22胸腹腔镜下食管癌根治术课件23胸腹腔镜下食管癌根治术课件24胸腹腔镜下食管癌根治术课件25胸腹腔镜下食管癌根治术课件26胸腹腔镜下食管癌根治术课件27胸腹腔镜下食管癌根治术课件28胸腹腔镜下食管癌根治术课件29胸腹腔镜下食管癌根治术课件30胸腹腔镜下食管癌根治术课件31胸腹腔镜下食管癌根治术课件32胸腹腔镜下食管癌根治术课件33胸腹腔镜下食管癌根治术课件34胸腹腔镜下食管癌根治术课件35胸腹腔镜下食管癌根治术课件36胸腹腔镜下食管癌根治术课件37胸腹腔镜下食管癌根治术课件38胸腹腔镜下食管癌根治术课件39胸腹腔镜下食管癌根治术课件40胸腹腔镜下食管癌根治术课件41胸腹腔镜下食管癌根治术课件42胸腹腔镜下食管癌根治术课件43胸腹腔镜下食管癌根治术课件44胸腹腔镜下食管癌根治术课件45胸腹腔镜下食管癌根治术课件46胸腹腔镜下食管癌根治术课件47胸腹腔镜下食管癌根治术课件48胸腹腔镜下食管癌根治术课件49胸腹腔镜下食管癌根治术课件50胸腹腔镜下食管癌根治术课件51胸腹腔镜下食管癌根治术课件52胸腹腔镜下食管癌根治术课件53胸腹腔镜下食管癌根治术课件54胸腹腔镜下食管癌根治术课件55胸腹腔镜下食管癌根治术课件56胸腹腔镜下食管癌根治术课件57胸腹腔镜下食管癌根治术课件58胸腹腔镜下食管癌根治术课件59胸腹腔镜下食管癌根治术课件60胸腹腔镜下食管癌根治术课件61胸腹腔镜下食管癌根治术课件62胸腹腔镜下食管癌根治术课件63胸腹腔镜下食管癌根治术课件64胸腹腔镜下食管癌根治术课件65胸腹腔镜下食管癌根治术课件66胸腹腔镜下食管癌根治术课件67胸腹腔镜下食管癌根治术课件68胸腹腔镜下食管癌根治术课件69胸腹腔镜下食管癌根治术课件70胸腹腔镜下食管癌根治术课件71胸腹腔镜下食管癌根治术课件72胸腹腔镜下食管癌根治术课件73胸腹腔镜下食管癌根治术课件74胸腹腔镜下食管癌根治术课件75胸腹腔镜下食管癌根治术课件76胸腹腔镜下食管癌根治术课件77胸腹腔镜下食管癌根治术课件78胸腹腔镜下食管癌根治术课件79胸腹腔镜下食管癌根治术课件80胸腹腔镜下食管癌根治术课件81胸腹腔镜下食管癌根治术课件82胸腹腔镜下食管癌根治术课件83胸腹腔镜下食管癌根治术课件84胸腹腔镜下食管癌根治术课件85胸腹腔镜下食管癌根治术课件86胸腹腔镜下食管癌根治术课件87胸腹腔镜下食管癌根治术课件88食管癌的微创外科食管癌的微创外科89HistoryandForeignExperience*1946年Ⅳor-lewis提出经腹和右胸联合手术治疗中段食管癌,开始手术分为2期,即先经腹完成胃的游离,然后1~2周后再2期经右胸游离和切除食管,并胃代食管在胸内吻合。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年美国匹兹堡大学胸部外科和微创外科中心J.D.Luketich等在AnnThoracSurg上报导2019-2019年对77位患者进行了minimallyinvasiveesophagectomy,MIEo*2000年美国匹兹堡大学胸部外科和微创外92开始他们进行了完全腹腔镜下的胃游离,然后利用mini-thoracotomy进行食管游离、切除和胃代食管的胸内吻合。后来逐渐发展到完全胸腔镜下进行。开始他们进行了完全腹腔镜下的胃游离,93胸腹腔镜下食管癌根治术课件94●●95胸腹腔镜下食管癌根治术课件96=jurDm=jur97胸腹腔镜下食管癌根治术课件98胸腹腔镜下食管癌根治术课件99胸腹腔镜下食管癌根治术课件100胸腹腔镜下食管癌根治术课件101胸腹腔镜下食管癌根治术课件102胸腹腔镜下食管癌根治术课件103胸腹腔镜下食管癌根治术课件104胸腹腔镜下食管癌根治术课件105胸腹腔镜下食管癌根治术课件106胸腹腔镜下食管癌根治术课件107胸腹腔镜下食管癌根治术课件108胸腹腔镜下食管癌根治术课件109胸腹腔镜下食管癌根治术课件110胸腹腔镜下食管癌根治术课件111胸腹腔镜下食管癌根治术课件112胸腹腔镜下食管癌根治术课件113胸腹腔镜下食管癌根治术课件114胸腹腔镜下食管癌根治术课件115胸腹腔镜下食管癌根治术课件116胸腹腔镜下食管癌根治术课件117胸腹腔镜下食管癌根治术课件118胸腹腔镜下食管癌根治术课件119胸腹腔镜下食管癌根治术课件120胸腹腔镜下食管癌根治术课件121胸腹腔镜下食管癌根治术课件122胸腹腔镜下食管癌根治术课件123胸腹腔镜下食管癌根治术课件124胸腹腔镜下食管癌根治术课件125胸腹腔镜下食管癌根治术课件126胸腹腔镜下食管癌根治术课件127胸腹腔镜下食管癌根治术课件128胸腹腔镜下食管癌根治术课件129胸腹腔镜下食管癌根治术课件130胸腹腔镜下食管癌根治术课件131胸腹腔镜下食管癌根治术课件132胸腹腔镜下食管癌根治术课件133胸腹腔镜下食管癌根治术课件134胸腹腔镜下食管癌根治术课件135胸腹腔镜下食管癌根治术课件136胸腹腔镜下食管癌根治术课件137胸腹腔镜下食管癌根治术课件138胸腹腔镜下食管癌根治术课件139胸腹腔镜下食管癌根治术课件140胸腹腔镜下食管癌根治术课件141胸腹腔镜下食管癌根治术课件142胸腹腔镜下食管癌根治术课件143胸腹腔镜下食管癌根治术课件144胸腹腔镜下食管癌根治术课件145胸腹腔镜下食管癌根治术课件146胸腹腔镜下食管癌根治术课件147胸腹腔镜下食管癌根治术课件148胸腹腔镜下食管癌根治术课件149胸腹腔镜下食管癌根治术课件150胸腹腔镜下食管癌根治术课件151胸腹腔镜下食管癌根治术课件152胸腹腔镜下食管癌根治术课件153胸腹腔镜下食管癌根治术课件154胸腹腔镜下食管癌根治术课件155胸腹腔镜下食管癌根治术课件156胸腹腔镜下食管癌根治术课件157胸腹腔镜下食管癌根治术课件158胸腹腔镜下食管癌根治术课件159胸腹腔镜下食管癌根治术课件160胸腹腔镜下食管癌根治术课件161胸腹腔镜下食管癌根治术课件162胸腹腔镜下食管癌根治术课件163胸