Ye Jichao, Liu Hao, Hu Xumin, Li Jinteng, Gao Liangbin, Tang Yong
Department of Orthopedics, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Urology, Sun Yat-Sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Front Surg. 2022 Sep 7;9:930536. doi: 10.3389/fsurg.2022.930536. eCollection 2022.
The anterior approach is one of the widely used surgical treatments for lumbar spondylodiscitis, but it has the disadvantages of large trauma and a high incidence of complications. Our experiences suggested that the laparoscopic retroperitoneal approach could be effective to overcome those disadvantages of the anterior approach. Herein, we report two cases of successfully treated lumbar pyogenic spondylodiscitis using a robot-assisted laparoscopic retroperitoneal approach. The technique utilizes a robot that allows a laparoscopic retroperitoneal approach while offering excellent high-definition images of three-dimensional vision. After the operation, both patients achieved good formation and fusion of the vertebrae. Preliminary evidence suggests that the robot-assisted laparoscopic retroperitoneal approach may be feasible for the treatment of lumbar spondylodiscitis.
前路手术是腰椎化脓性脊柱炎广泛应用的手术治疗方法之一，但存在创伤大、并发症发生率高的缺点。我们的经验表明，腹腔镜腹膜后入路可有效克服前路手术的这些缺点。在此，我们报告两例采用机器人辅助腹腔镜腹膜后入路成功治疗的腰椎化脓性脊柱炎病例。该技术使用的机器人可实现腹腔镜腹膜后入路，同时提供出色的三维高清视觉图像。术后，两名患者均实现了良好的椎体形成和融合。初步证据表明，机器人辅助腹腔镜腹膜后入路治疗腰椎化脓性脊柱炎可能是可行的。
