Szabó Viktor, Büki András, Dóczi Tamás, Schwarcz Attila
Pécsi Tudományegyetem, Idegsebészeti Klinika, Pécs.
Ideggyogy Sz. 2018 Sep 30;71(9-10):293-301. doi: 10.18071/isz.71.0293.
In spine surgery, minimally invasive approaches (MIS) are getting accepted and more popular worldwide during the last decades. It is due to the reduced intraoperative blood loss, decreased infection rate, less postoperative pain and earlier discharge from hospital compared to traditional approaches. The present paper puts forward a minimally invasive extrapleural approach to the thoracic spine that is not applied in Hungary. This new approach, in contrast to the standard costotransversectomy, provides direct visual control over the ventral surface of the dural sac. Furthermore, contrary to the transthoracic way, following minimally invasive extrapleural surgery thoracic drainage and intensive care are not necessary. The approach can be applied safely in treatment of ventral or ventrolateral pathologies of the thoracic spine.
在脊柱外科手术中，近几十年来，微创入路（MIS）在全球范围内越来越被接受且更受欢迎。这是因为与传统入路相比，它术中失血减少、感染率降低、术后疼痛减轻且住院时间更早。本文提出了一种匈牙利尚未应用的微创胸膜外入路治疗胸椎的方法。与标准肋横突切除术不同，这种新方法可直接目视控制硬脊膜囊的腹侧表面。此外，与经胸入路相反，微创胸膜外手术后无需胸腔引流和重症监护。该入路可安全应用于胸椎腹侧或腹外侧病变的治疗。
