O'Toole John E, Eichholz Kurt M, Fessler Richard G
Department of Neurosurgery, Rush University Medical Center, 1725 West Harrison Street, Suite 970, Chicago, IL 60612, USA.
Neurosurg Clin N Am. 2006 Oct;17(4):491-506. doi: 10.1016/j.nec.2006.06.006.
Minimally invasive approaches to spinal tumors have evolved rapidly over the past 15 to 20 years as clinicians seek to avoid the morbidity and long-term dysfunction associated with traditional open surgical procedures. We review the noninvasive, percutaneous, and minimally invasive surgical techniques currently available for the treatment of spinal column and intradural spinal tumors, including minimal access thoracic corpectomy and minimal access intradural tumor surgery. The various advantages and limitations of these approaches as well as their appropriate indications and uses are also presented here. A measured understanding of surgical objectives and iatrogenic effects on patients' quality of life allows the surgeon to implement such minimally invasive approaches in the design of individualized treatment plans that range from pure palliation to definitive cure.
在过去15至20年里，随着临床医生试图避免与传统开放手术相关的发病率和长期功能障碍，脊柱肿瘤的微创治疗方法迅速发展。我们回顾了目前可用于治疗脊柱和硬膜内脊髓肿瘤的非侵入性、经皮和微创手术技术，包括微创胸椎椎体切除术和微创硬膜内肿瘤手术。本文还介绍了这些方法的各种优点和局限性，以及它们的适用指征和用途。对手术目标和医源性因素对患者生活质量影响的审慎理解，使外科医生能够在设计从单纯姑息治疗到根治性治疗的个体化治疗方案时采用此类微创方法。
