Spine Unit, Department of Orthopedic Surgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Spine Unit, Department of Orthopedic Surgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Anticancer Res. 2020 Oct;40(10):5673-5678. doi: 10.21873/anticanres.114581.
BACKGROUND/AIM: We conducted a randomized controlled trial to investigate whether minimally access spine surgery (MASS) is less morbid than open surgery (OS) in patients with metastatic spinal cord compression (MSCC).
A total of 49 MSCC patients were included in the trial. The outcome measures were bleeding (L), operation time (min), re-operations and prolonged wound healing.
The median age was 67 years (range=42-85 years) and 40% were men. The peri-operative blood loss in the MASS-group was significantly lower than that in the OS-group; 0.175L vs. 0.500L, (p=0.002). The median operation time for MASS was 142 min (range=72-203 min) vs. 103 (range=59-435 min) for OS (p=0.001). There was no significant difference between the two groups concerning revision surgery or delayed wound healing.
The MASS technique in MSCC patients is associated with less blood loss, but a longer operation time when compared to the OS technique.
背景/目的：我们进行了一项随机对照试验，以调查微创脊柱手术（MASS）是否比开放性手术（OS）在转移性脊髓压迫症（MSCC）患者中创伤更小。
共有 49 例 MSCC 患者参与了该试验。观察指标包括出血量（L）、手术时间（min）、再次手术和伤口愈合时间延长。
患者的中位年龄为 67 岁（范围为 42-85 岁），其中 40%为男性。MASS 组围手术期出血量明显少于 OS 组；0.175L 比 0.500L，（p=0.002）。MASS 组的中位手术时间为 142min（范围为 72-203min），OS 组为 103min（范围为 59-435min）（p=0.001）。两组在再次手术或伤口愈合延迟方面无显著差异。
与 OS 技术相比，MASS 技术在 MSCC 患者中可减少出血量，但手术时间更长。
