medigraphic.com
Órgano Oficial del Colegio Medico de Ortopedia en Jalisco y de la Sociedad Uruguaya de Columna Vertebral (SUCVE)

2011, Number 1

<< Back Next >>

COLUMNA 2011; 1 (1)

Toracoscopia de la columna.
Una opción de tratamiento viable

Jiménez AJM

Language: Spanish
References: 14
Page: 15-18
PDF size: 156.36 Kb.


ABSTRACT

Videoassisted thoracoscopic surgery (VATS) has advantages over the open thoracotomy and one of the major benefits is to preserve the muscular wall of the chest, small incisions in the skin, this is associated with decreased postoperative, giving better cosmetic results pain, a decrease in the risk of infection in the wound, and rapid return to normal function. Indications include diagnostic and therapeutic biopsy tumors of the vertebral body, osteomyelitis, and spinal abscess, also the degenerative discs, spinal deformity surgery, the corporectomía decompression and stabilizing fractures, infection or tumors. Theoretically, such a procedure less invasive should result in a shorter stay in hospital, less pain, are reflected in lower cost.


REFERENCES

  1. Jacobaeus HC: Possibility of the use of cystoscope for investigation of seros cavities. Munch med Wochenschr. 1910; 57:2090-2092.

  2. Mack MJ, Regan JJ, Bobechko WP: Acuff TE Application of thoracoscopy on diseases of the spine. Ann Thorac Surg.1993; 56:736–738.

  3. Burgos J, Rapariz JM, Gonzalez-Herranz P: Anterior endoscopic approach to the thoracolumbar spine. Spine. 1998; 23:2427–2431.

  4. Gonzalez-Barrios I, Fuentes Caparros, S, Avila Jurado MM: Anterior thoracoscopic epiphysiodesis in the treatment of a crankshaft phenomenon. Eur Spine J. 1995; 4:343–346.

  5. Regan JJ, Guyer RD: Endoscopic techniques in spinal surgery. Clin Orhop Rel Res. 19997; 335:122-139.

  6. Papin P, Arlet V, Marchesi D, Laberge, JM, Aebi M: Treatment of scoliosis in the adolescent by anterior release and vertebral arthrodesis. Rev Chir Orthop. 1998; 84:231–238.

  7. Lieberman IH, Salo PT, Orr RD, et al: Prone position endoscopic transthoracic release with simultaneous posterior instrumentatioon for spinal deformity: A description of the technique. Spine. 2000; 25:2251-2257.

  8. Landreneau RJ, Hazelrigg SR, Mack, MJ: Postoperative pain-related morbidity: video-assisted thoracic surgery vs thoracotomy. Ann Thorac Surg. 1993; 56:1285–1289.

  9. Newton PO, Wenger DR, Mubarack SJ, Meyer S Anterior release and fusion in pediatric spinal deformity. A comparison of early outcome and cost of thoracoscopy and open thoracotomy approaches. Spine. 1997; 22:1398–1406.

  10. McAfee MC, Regan JJ, Zdeblick T, et al The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. Spine. 1995; 20:1624–1632.

  11. Rosenthal D, Marquardt G, Lorenz R et al. Anterior decompression and stabilization using a microsurgical andoscopic technique for metastatic tumors of the thoracic spine. J. Neurosurg. 1996; 84:565-572.

  12. Regan JJ, Mack MJ, Picetti GD A technical report on video-assisted thoracoscopy in thoracic spinal surgery. Spine. 1995; 20:831–837.

  13. Arlet V: Anterior thoracoscopic spine release in deformity surgery:a meta-analysis and review Eur Spine J. 2000; 9 (Suppl 1) :S17–S23.

  14. Schwarz RE, Posner MC, Ferson PF, et al: Thoracoscopic techniques for the management of intrathoracic metastase: results. Surg Endosc. 1998; 12:842-845.




2020     |     www.medigraphic.com