腰椎硬脊膜外 schwann 瘤的微创切除术：我的操作方法。
Minimally invasive resection of a lumbar extradural schwannoma: how I do it.
机构信息
Spinal Surgery Unit, Department of Neuroscience, Lausanne University Hospital, Lausanne, Switzerland.
Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
出版信息
Acta Neurochir (Wien). 2019 Nov;161(11):2365-2368. doi: 10.1007/s00701-019-04057-2. Epub 2019 Sep 5.
BACKGROUND
Complete surgical resection of a foraminal lumbar schwannoma may require an extended surgical exposure and facetectomy and thus secondary instrumentation. The minimally invasive technique through the use of tubular retractors may represent a valid surgical alternative.
METHOD
We describe the resection of a foraminal lumbar schwannoma through the use of tubular retractors, along with its advantages and limitations. A limited medial facetectomy was performed and no stabilization was needed.
CONCLUSION
Minimally invasive surgery is suitable for an efficient and safe resection of foraminal schwannomas and may help in avoiding stabilization when a limited facetectomy is performed.
背景
完全切除椎间孔腰椎神经鞘瘤可能需要广泛的手术暴露和关节突切除术，因此需要二次器械固定。使用管状牵开器的微创技术可能是一种有效的手术选择。
方法
我们描述了使用管状牵开器切除椎间孔腰椎神经鞘瘤的方法，以及其优缺点。我们进行了有限的内侧关节突切除术，不需要固定。
结论
微创外科适用于有效和安全地切除椎间孔神经鞘瘤，当进行有限的关节突切除时，有助于避免固定。
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