Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah 84132, USA.
Neurosurg Focus. 2011 Oct;31(4):E14. doi: 10.3171/2011.8.FOCUS11133.
The thoracoscopic approach to the anterior spine is a practical and valuable means of approaching ventral spinal lesions but demands advanced technical skills and fine hand-eye coordination that is usually acquired with experience. A mutual understanding of all the ventilatory and surgical steps allows for an organized orchestration between the anesthesiologist and surgeon, which ultimately helps minimize potential complications. Despite a concerted effort by all involved to avoid risks, thoracoscopic surgery is associated with complications for which the surgical team should be cognizant. In this paper, the authors detail the operative technique of vertebral corpectomy and interbody fusion via the thoracoscopic approach for the treatment of ventral spinal pathology involving the thoracic and lower lumbar spine, discuss complications known to occur with the thoracoscopic approach, and present means to help avoid them.
胸腔镜前路入路是一种实用且有价值的方法，可用于治疗腹侧脊柱病变，但需要先进的技术技能和精细的手眼协调，这通常需要通过经验获得。麻醉师和外科医生之间相互理解所有通气和手术步骤，可以进行有组织的协调，最终有助于最大限度地减少潜在的并发症。尽管所有相关人员都努力避免风险，但胸腔镜手术与并发症有关，外科团队应该意识到这些并发症。本文作者详细介绍了通过胸腔镜入路行椎体切除术和椎间融合术治疗累及胸腰椎腹侧脊柱病变的手术技术，讨论了胸腔镜入路已知的并发症，并提出了有助于避免这些并发症的方法。
