腔镜食管癌切除术的现状（傅剑华）.pptVIP

生存率比较(MIE v.s OE) Jang-Ming Lee et al.(Taiwan) World J Surg (2011) 35:790–797 MIE对生存率有无影响？ MIE Open P=0.826 Zingg U, McQuinn A, DiValentino D, et al. Minimally invasive versus open esophagectomy for patients with esophageal cancer. Ann Thorac Surg 2009; 87:911-919 Lee JM, Cheng JW, Lin MT, et al. Is there any benefit to incorporating a laparoscopic procedure into minimally invasive esophagectomy? The impact on perioperative results in patients with esophageal cancer. World J Surg 2011; 35:790-797 MIE的评价 MIE可安全替代开胸手术，其优点： 减少术后并发症，特别是呼吸道并发症 缩短住院时间，失血量减少 清扫范围与开放手术相同 不影响长期生存 仍需前瞻性