Matsumoto M, Watanabe K, Tsuji T, Ishii K, Takaishi H, Nakamura M, Toyama Y, Chiba K
Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
Minim Invasive Neurosurg. 2010 Apr;53(2):69-73. doi: 10.1055/s-0030-1249052. Epub 2010 Jun 8.
A lumbar discal cyst is a relatively rare cystic lesion that communicates with lumbar intervertebral discs. Surgical resection of the cyst is the reported treatment of choice. In this study, the authors report the minimally invasive surgical resection of lumbar discal cysts using a microendoscopy.
Seven male patients with lumbar discal cysts underwent microendoscopic resections (mean age: 25.1+/-3.2 years and the mean follow-up period: 27.9 months). During the surgeries, the cysts were subtotally resected in a piecemeal fashion, and the fistulas forming the communications between the cysts and the corresponding intervertebral discs were coagulated using a bipolar coagulator.
All the patients obtained relief from their pain after surgery, and no recurrences occurred during a mean follow-up period of 28 months. The mean operation time was 72.6+/-20.2 min, and the mean blood loss was 44.4+/-13.7 grams. No intra- or peri-operative complications were noted in any of the patients.
Microendoscopic resection appears to be a minimally invasive and feasible surgical option for the treatment of lumbar discal cysts.
腰椎间盘囊肿是一种相对罕见的与腰椎间盘相通的囊性病变。据报道，手术切除囊肿是首选的治疗方法。在本研究中，作者报告了使用微型内窥镜对腰椎间盘囊肿进行微创外科切除。
7例患有腰椎间盘囊肿的男性患者接受了微型内窥镜切除术（平均年龄：25.1±3.2岁，平均随访期：27.9个月）。手术过程中，囊肿被逐块次全切除，形成囊肿与相应椎间盘之间连通的瘘管用双极电凝器进行凝固。
所有患者术后疼痛均得到缓解，在平均28个月的随访期内无复发。平均手术时间为72.6±20.2分钟，平均失血量为44.4±13.7克。所有患者均未出现术中或术后并发症。
微型内窥镜切除术似乎是治疗腰椎间盘囊肿的一种微创且可行的手术选择。
