Percutaneous Full-Endoscopic Removal of Lumbar Intradural Extramedullary Tumor via Translaminar Approach

Şentürk, Salim; Ünsal, Ülkün Ünlü

doi:10.1016/j.wneu.2019.01.206

Cited by 23 publications

(20 citation statements)

References 15 publications

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“…Due to technological advancements and increased surgical experience, endoscopic spine surgery indications have expanded considerably. Senturk et al ( 25 ) previously described a translaminar approach for complete endoscopic removal of a lumbar intradural extramedullary tumor. Moreover, Tsai et al, Ying et al, and Zhu et al ( 26 – 28 ) also supported the use of the interlaminar approach to remove intraspinal tumors.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Neuroendoscopic and Microscopic Surgery for Unilateral Hemilaminectomy: Experience of a Single Institution

Zeng

Jiang

et al. 2022

Front. Surg.

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ObjectiveThis study was designed to compare the safety and efficacy of unilateral hemilaminectomy conducted under complete neuroendoscopic visualization (UHNV) relative to unilateral hemilaminectomy under total microscopic visualization (UHMV) for the treatment of patients diagnosed with intraspinal tumors.MethodsIn total, 41 patients undergoing intraspinal tumor resection at Northern Jiangsu People's Hospital were included in this study, including 20 and 21 patients in the UHNV and UHMV groups, respectively. Intraoperative parameters including incision length, operative duration, number of vertebral laminae removed and intraoperative blood loss, as well as indicators of curative efficacy such as total tumor resection rates and postoperative symptom improvement rates, and safety indicators including complication rates, recurrence rates, spinal deformity rates, spinal instability incidence, and length of stay (LOS), were compared between the two groups.ResultsIn contrast to the UHMV group, patients in the UHNV group had a significantly shorter incision length and decreased intraoperative blood loss (P < 0.05), while the operative duration (P > 0.05) showed no statistical difference. Although the postoperative improvement and total tumor resection rates were enhanced, the difference was not statistically significant (P > 0.05). In comparison, the bedridden time and length of stay (LOS) were significantly shortened (P < 0.05) in the UHNV group. However, there were no significant differences in recurrence, incidence of complications, spinal deformity, and spinal instability (P > 0.05).ConclusionCollectively, our findings indicate that UHNV is not inferior to the UHMV approach. Moreover, due to its safe and minimally invasive nature, UHNV represents a promising alternative to UHMV as a treatment for patients with intradural extramedullary tumors.

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Section: Discussionmentioning

confidence: 99%

Comparison of Neuroendoscopic and Microscopic Surgery for Unilateral Hemilaminectomy: Experience of a Single Institution

Zeng

Jiang

et al. 2022

Front. Surg.

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“…Following these developments, endoscopy emerged as an alternative to conventional open surgery. 10 Percutaneous endoscopic discectomy is performed to decompress indirectly by removing the nucleus pulposus from the posterior one-third of the disc space. 11 In 1983, with a percutaneous technique developed by Kambin and Gellman, a 72 percent success rate was achieved in 136 patients.…”

Section: Discussionmentioning

confidence: 99%

Full Endoscopic Surgery of Bullet Removal of the Spine: A Case Report

Malik¹,

Nugroho²

2022

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Background: In the past decade, the endoscopic technique has been applied as a feasible and less invasive approach to orthopedic surgeries. Minimally invasive, full-endoscopic surgery has gained considerable attention in managing air gun injuries to the spine. Sacrum injuries among air gun wounds are rare and few have been published in case reports. Here, we present the management of air gun-bullet injury to the pediatric spinal spine in a 5-year-old child using endoscopic surgical intervention.Case Report: A 5-year-old girl was accidentally shot in the lower back with an air gun. The CT scan imaging shown a retained projectile in the pedicle of S1 vertebrae without vascular injury or unstable vertebral fracture. A minimally invasive, full-endoscopic surgical technique was applied to remove the bullet in this patient. On post-surgical follow-up, the patient was in a good recovery state.Discussion: Surgical intervention is needed for decompression, stabilization, and diminished risks of lead toxicity. The percutaneous endoscopic approach is the least invasive intervention performed to ensure a targeted approach through the anatomical openings of the spine and through intervertebral discs and bone structures, thereby further reducing spinal instability, blood loss, and infection risk.Conclusion: The endoscopic operation of minimally invasive surgical techniques is an effective operative approach not only limited in spinal stenosis cases, but also in air gun injuries.

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“…The same author also reported a case on decompression of the L5–S1 foramen for a case of degenerative foraminal stenosis through the translaminar route [ 29 ]. The full-endoscopic translaminar route was also recently reported for the excision of an intradural extramedullary tumor of the spinal cord with very good results [ 30 ]. The same group utilized the translaminar endoscopic approach to excise extravasated cement leak causing radiculitis in a case of percutaneous vertebroplasty [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…29 The full-endoscopic translaminar route was also recently reported for the excision of an intradural extramedullary tumor of the spinal cord with very good results. 30 The same group utilized the translaminar endoscopic approach to excise extravasated cement leak causing radiculitis in a case of percutaneous vertebroplasty. 31 But all the authors warn that the full-endoscopic translaminar approach is technically challenging and requires a significant hand-eye coordination.…”

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confidence: 99%

Modified Interlaminar Endoscopic Lumbar Discectomy for Highly Upmigrated Disc Herniation: A Proctorship Description of the Technique via Translaminar Route

Khandge

Kim

2020

Neurospine

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Lumbar disc herniation (LDH) comprises one of the most common causes of low back pain. 35%-72% of LDH is associated with disc fragment migration. The migration of the disc fragments can be high-grade up, low-grade up, high-grade down, and low-grade down. Spine surgeons deal with unique challenges during surgical management of migrated discs. Operational challenges with open surgery include extensive lamina excision, pars excision, and potential for iatrogenic instability without fixation. In contrast, rigid instruments and poor visualization are the challenges with transforaminal endoscopic spine surgery (ESS). Hence interlaminar approach with ESS is an excellent choice with these migrated LDH. The creation of a translaminar crater in the cranial lamina without dealing with the interlaminar window or ligamentum flavum could be an excellent option to deal with these herniations face front. The lamina is the only anatomical barrier between the endoscope and the migrated disc fragment. Hence with a translaminar approach, unnecessary flavectomy can be avoided. In this technical report and video, we demonstrate the surgical technique of performing the translaminar ESS for highly upmigrated LDH with the preservation of optimal natural anatomy.

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Percutaneous Full-Endoscopic Removal of Lumbar Intradural Extramedullary Tumor via Translaminar Approach

Cited by 23 publications

References 15 publications

Comparison of Neuroendoscopic and Microscopic Surgery for Unilateral Hemilaminectomy: Experience of a Single Institution

Comparison of Neuroendoscopic and Microscopic Surgery for Unilateral Hemilaminectomy: Experience of a Single Institution

Full Endoscopic Surgery of Bullet Removal of the Spine: A Case Report

Modified Interlaminar Endoscopic Lumbar Discectomy for Highly Upmigrated Disc Herniation: A Proctorship Description of the Technique via Translaminar Route

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