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单孔经椎间孔内镜下胸椎椎间盘切除术:综述与技术要点

Uniportal, Transforaminal Endoscopic Thoracic Discectomy: Review and Technical Note.

作者信息

Lee Sang Hun, Musharbash Farah N

机构信息

Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.

出版信息

Neurospine. 2023 Mar;20(1):19-27. doi: 10.14245/ns.2346074.037. Epub 2023 Mar 31.

Abstract

Symptomatic thoracic disc herniations are a rare entity and their operative treatment is challenging. Open approaches, despite providing excellent access, are associated with significant access morbidity from thoracotomy, and this has led to an increased interest in minimally invasive techniques such as mini-open approach, thoracoscopic approach and the endoscopic approach. In this article, we describe the technical points for performing a transforaminal endoscopic thoracic discectomy and summarize its literature outcomes in the context of other minimally invasive approaches.

摘要

有症状的胸椎间盘突出症是一种罕见的疾病,其手术治疗具有挑战性。开放手术尽管能提供良好的显露,但与开胸手术相关的显著手术并发症有关,这导致人们对诸如迷你开放手术、胸腔镜手术和内镜手术等微创技术的兴趣增加。在本文中,我们描述了经椎间孔内镜下胸椎间盘切除术的技术要点,并在其他微创方法的背景下总结了其文献报道的结果。

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