Department of Neurosurgery, Xuanwu Hospital Capital Medical University, 45 Changchun Street, 45 Changchun Street, Beijing, People's Republic of China, 100053.
Department of Neurosurgery, Capital Medical University Affiliated Beijing Ditan Hospital, 8 Jingshundong Street, Beijing, People's Republic of China, 100015.
BMC Surg. 2022 Aug 27;22(1):324. doi: 10.1186/s12893-022-01774-x.
To investigate the surgical techniques and postoperative therapeutic effectiveness of microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach.
The clinical data of 6 cases with lumbar paravertebral tumors treated by lateral retroperitoneal approach in the Neurosurgery department of Xuanwu Hospital, Capital Medical University were analyzed retrospectively. The mean operation time, blood loss, incision length, length of hospital stay, and the resection rate of paravertebral tumors were collected, and the score of The Ability to Perform Activities of Daily Living (ADL) and incidence of postoperative complications was recorded.
The operation time ranged from 56 to 181 min, with an average of (94.8 ± 48.3) minutes. The blood loss was between 5 and 100 ml, with an average of (31.7 ± 37.5) ml. The incision length was 6-7 cm, with an average of (6.7 ± 0.5) cm. The hospitalization length was between 5 and 11 days, with an average of (8.7 ± 2.6) days. The resection rate of paravertebral tumors was 100%. Postoperative pathological diagnosis results revealed 4 cases of schwannoma, 1 case of ganglioneuroma, and 1 case of malignant small round cell tumor. During the 3-month follow-up, there were no tumor recurrence, abdominal infection, incision infection, incisional hernia, or death, and there was no significant decrease in the ADL score compared with that before the operation.
The surgical treatment of lumbar paravertebral tumors via the lateral retroperitoneal approach has the advantages of the short operation time, minimally invasive procedures, quick postoperative recovery, and fewer complications.
探讨经侧腹膜后入路显微手术治疗腰椎椎旁肿瘤的手术技术及术后疗效。
回顾性分析首都医科大学宣武医院神经外科经侧腹膜后入路治疗的 6 例腰椎椎旁肿瘤患者的临床资料。收集手术时间、出血量、切口长度、住院时间、椎旁肿瘤切除率，记录日常生活活动能力（ADL）评分及术后并发症发生率。
手术时间 56～181 min，平均（94.8±48.3）min；出血量 5～100 ml，平均（31.7±37.5）ml；切口长度 6～7 cm，平均（6.7±0.5）cm；住院时间 5～11 d，平均（8.7±2.6）d。椎旁肿瘤切除率 100%。术后病理诊断结果显示 schwannoma 4 例、ganglioneuroma 1 例、恶性小圆细胞肿瘤 1 例。术后 3 个月随访无肿瘤复发、腹部感染、切口感染、切口疝、死亡，ADL 评分与术前相比无明显下降。
经侧腹膜后入路治疗腰椎椎旁肿瘤具有手术时间短、创伤小、术后恢复快、并发症少等优点。
