Amini Amin, Beisse Rudolf, Schmidt Meic H
Department of Neurosurgery, University of Utah, Salt Lake City, Utah 84132, USA.
Neurosurg Focus. 2005 Dec 15;19(6):E4.
The anterior thoracolumbar spine can be exposed via a variety of approaches. Historically, open anterolateral or posterolateral approaches have been used to gain access to the anterior thoracolumbar spinal column. Although the exposure is excellent, open approaches are associated with significant pain and respiratory problems, substantial blood loss, poor cosmesis, and prolonged hospitalization. With the increasing use of the endoscope in surgical procedures and recent advances in video-assisted thoracoscopic surgery, minimally invasive thoracoscopic spine surgery has been developed to decrease the morbidity associated with open thoracotomy. The purpose of this article is to illustrate the surgical technique of a minimally invasive thoracoscopic approach to the anterolateral thoracolumbar spine and to discuss its potential indications and contraindications in patients with diseases involving the anterior thoracic and lumbar regions.
胸腰段脊柱前路可通过多种入路显露。过去，开放的前外侧或后外侧入路被用于显露胸腰段脊柱前路。尽管显露效果极佳，但开放入路会带来明显的疼痛和呼吸问题、大量失血、美观性差以及住院时间延长。随着内窥镜在外科手术中的使用增加以及电视辅助胸腔镜手术的最新进展，微创胸腔镜脊柱手术已被开发出来，以降低与开放开胸手术相关的发病率。本文的目的是阐述微创胸腔镜入路至胸腰段脊柱前路的手术技术，并讨论其在涉及胸腰段前部区域疾病患者中的潜在适应证和禁忌证。
