Thoracoscopic discectomy for herniated thoracic discs
Journal Title: Eklem Hastaliklari ve Cerrahisi - Year 2005, Vol 16, Issue 2
Abstract
Objectives: Thoracoscopic discectomy is a relatively new and technically demanding minimally invasive procedure. In this study, we presented our clinical experience with thoracoscopic discectomy. Patients and methods: The medical records of 49 consecutive patients (30 men, 19 women; mean age 48.5 years; range 28 to 68 years) who underwent thoracoscopic discectomy from March 1997 to October 2004 were retrospectively reviewed. All the patients suffered from myelopathy (n=44) or intolerable radiculopathy (n=5). The mean follow-up period was 52 months (range 3 to 94 months). Results: Preoperative radiologic studies showed soft disc herniation in 21 patients and hard calcified disc herniation in 32 patients. The most common involvement was at T6-7 with nine patients (18.4%), followed by T8-9 with six patients (12.2%), and T3-4 (n=5, 10.2%), T7-8 (n=5), T9-10 (n=5), and T10-11 (n=5). The mean operation time was 182 minutes (range 100 to 420 minutes). The mean blood loss was 340 ml (range 150 to 1,500 ml). Of 44 patients with myelopathy, 41 patients (93.2%) showed neurologic improvement, and three patients (6.8%) had a stabilized neurological status. All the patients with radiculopathy had complete recovery. Postoperative complications included intercostal neuralgia, delayed hemopneumothorax, prolonged air leakage, and pneumonia in four patients, respectively. Conclusion: Although the learning curve is steep, thoracoscopic discectomy is a safe and effective minimally invasive procedure for symptomatic thoracic disc herniations.
Authors and Affiliations
Sang-Hyeop Jeon, Sang-Ho Lee, Song-Woo Shin
Keywords
Related Articles
- EP ID EP112862
- DOI -
- Views 96
- Downloads 0
The effect of the prosthesis type on inpatient functional status and length of hospitalization in primary total hip arthroplasties
Objectives: We investigated the effect of prosthesis type on inpatient functional independence levels and length of hospitalization in patients undergoing total hip arthroplasty (THA). Patients and methods: The study in...
Mikrodiskektomiye bağlı lomber piyojenik spondilodiskit tedavisinde<br /> Chuinard-Peterson tipi kemik greftiyle anterior füzyon ve perkütan faset vida fiksasyonu
Amaç: Lomber piyojenik spondilodiskit, mikrodiskektomiden sonra gelişebilecek ciddi bir komplikasyondur. Bu yazıda, bu enfeksiyonun tedavisi için yeni bir cerrahi teknik, erken sonuçlarıyla birlikte sunuldu. Hastalar ve...
Necrotising fasciitis following closed femoral diaphyseal fracture in a child
Necrotising fasciitis is a rare infectious process that progresses rapidly especially in fascial and subcutaneous tissues. A 13-year-old boy with cerebral palsy developed closed femoral diaphyseal fracture due to a fall....
Proksimal humerusun üç ve dört parçalı kırıklarında hemiartroplasti sonuçları
Amaç: Üç veya dört parçalı proksimal humerus kırıklı olgularda hemiartroplasti sonuçları değerlendirildi. Hastalar ve yöntemler: On bir hastaya (8 kadın, 3 erkek; ort. yaş 64; dağılım 38-75) proksimal humerus akut kırığ...
Anterior lomber füzyondan sonra perkütan translaminer faset pedikül vida fiksasyonu
Amaç: Bu geriye dönük çalışmada, Magerl yönteminden modifiye edilerek geliştirilen yeni bir minimal invaziv translaminar faset pedikül vida fiksasyon tekniği tanımlandı ve bu tekniğin uygulanabilirliği ve klinik etkinliğ...