Kravtsov Maxim N, Manukovsky Vadim A, Mirzametov Saidmirze D, Malysheva Olga V, Averyanov Dmitry A, Svistov Dmitry V
Kirov Military Medical Academy, St. Petersburg, Russia.
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia.
Front Surg. 2022 Apr 29;9:877974. doi: 10.3389/fsurg.2022.877974. eCollection 2022.
Technical achievements and surgical techniques improvement contribute to the expansion of the endoscopic spine surgery possibilities. However, today there are few reports about the use of percutaneous endoscopy in spinal tumor surgery. A case of percutaneous transforaminal endoscopic removal of the lumbar spinal nerve tumor with intraoperative neuromonitoring is presented.
A 59-year-old female was complaining of a left shin and foot pain, weakness, and paresthesia. Preoperative magnetic resonance imaging (MRI) revealed a tumor (neurinoma) at the left L5-S1 intervertebral foramen. Transforaminal endoscopic removal of an extramedullary tumor from an 8-mm skin incision with intraoperative neuromonitoring was performed. Postoperative MRI revealed the signs of total resection of the tumor.
The presented case confirms that percutaneous endoscopic removal of lumbar spine intraforaminal neurinomas can be safe and effective.
技术成就和手术技术的改进有助于扩大脊柱内镜手术的可能性。然而，目前关于经皮内镜在脊柱肿瘤手术中的应用报道较少。本文介绍了一例在术中神经监测下经皮椎间孔内镜切除腰椎神经肿瘤的病例。
一名59岁女性，主诉左小腿及足部疼痛、无力和感觉异常。术前磁共振成像（MRI）显示左L5-S1椎间孔有一个肿瘤（神经鞘瘤）。通过8毫米皮肤切口，在术中神经监测下经椎间孔内镜切除髓外肿瘤。术后MRI显示肿瘤全切迹象。
本病例证实经皮内镜切除腰椎椎间孔内神经鞘瘤是安全有效的。
