Video-assisted thoracoscopic surgery to the upper thoracic spine

Huang, Tiao‐Lai; Hsu, Robert Wen Wei; Liu, H.-P.; Shih, Hong-Mo; Liao, Yi; Hsu, Kuo-Yao; Chen, Y.-J.

doi:10.1007/s004649900919

Cited by 24 publications

(11 citation statements)

References 6 publications

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“…In the early 1990s, VATS techniques were applied to the treatment of spinal disease simultaneously by both Rosenthal et al in Germany and Mack et al in the United States 23,27) . Recently VATS have been used for management of thoracic and thoracolumbar junction pathologies, including thoracic disc herniation, fractures, tuberculosis spondylitis, idiopathic scoliosis, neuromuscular spinal deformity, congenital scoliosis, tumors 1,2,4,6,[8][9][10][11][12][13][14][15][16][17][18]21,25,26,29,30) . Using thoracoscopic surgery, anterior and anterolateral reconstruction can be performed to provide effective anterior load-bearing.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Video-assisted Thoracoscopic Spinal Surgery in the Thoracic or Thoracolumbar Spinal Pathologies

Kim

Sohn

Ryoo

et al. 2007

J Korean Neurosurg Soc

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Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Video-assisted Thoracoscopic Spinal Surgery in the Thoracic or Thoracolumbar Spinal Pathologies

Kim

Sohn

Ryoo

et al. 2007

J Korean Neurosurg Soc

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“…One area that has received much attention recently is the use of endoscopes in the resection of metastatic tumors in the thoracic spine [60][61][62][63][64]. Although an endoscope can be used with open approaches, it is most often used in conjunction with a minimally invasive anterior transthoracic approach.…”

Section: ) Laminectomy the Spinous Process And The Adjacent Lamina Amentioning

confidence: 99%

Surgical Management of Spinal Metastases

2004

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Metastatic spread to the spinal column is a growing problem in patients with cancer. It can cause a number of sequelae including pain, instability, and neurologic deficit. If left untreated, progressive myelopathy results in the loss of motor, sensory, and autonomic functions. Except in rare circumstances, treatment is palliative. Traditionally, conventional fractionated external beam radiotherapy has been the treatment of choice. "Surgery" for metastatic spinal disease was, and generally continues to be, equated with laminectomy by many physicians. However, there has been a remarkable evolution in surgical techniques over the last 20 years. Today, the goal of surgery is to achieve circumferential decompression of the neural elements while reconstructing and immediately stabilizing the spinal column. This has been made possible by the use of different surgical approaches and the exploitation of a burgeoning array of internal fixation devices. More recently, minimally invasive surgical techniques, such as endoscopy, kyphoplasty/vertebroplasty, and stereotactic radiosurgery, have been added to the surgeon's armamentarium. As the number of treatment options for metastatic spinal disease grows, it has become clear that effective implementation of treatment can only be achieved by a multidisciplinary approach. This will provide the surest means of maximizing the quality of the remainder of the patient's life.

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“…We report a new approach that uses the so-called extended manipulating channel method [2] to treat spinal lesions located in the thoracolumbar junction endoscopically. This method allows for the use of a combination of videoassisted thoracoscopy and conventional spinal instruments during surgery.…”

Section: Surgical Endoscopymentioning

confidence: 99%

Video-assisted thoracoscopic treatment of spinal lesions in the thoracolumbar junction

et al. 1997

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The video-assisted technique with the extended manipulating channel method presented in this report simplifies thoracoscopic spinal surgery in the thoracolumbar junction and makes it easier. It avoids division of the diaphragm, removal of the rib, and wide spread of the intercostal space, and it allows greater control of intraoperative vessel bleeding. Using this technique, the number of portals required during the procedure can be reduced. In addition, the technique reduces the endoscopic materials required, thus lowering overall cost. It is an effective and promising approach.

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Video-assisted thoracoscopic surgery to the upper thoracic spine

Cited by 24 publications

References 6 publications

Clinical Analysis of Video-assisted Thoracoscopic Spinal Surgery in the Thoracic or Thoracolumbar Spinal Pathologies

Clinical Analysis of Video-assisted Thoracoscopic Spinal Surgery in the Thoracic or Thoracolumbar Spinal Pathologies

Surgical Management of Spinal Metastases

Video-assisted thoracoscopic treatment of spinal lesions in the thoracolumbar junction

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