Minimally Invasive Surgical Techniques to Treat Spine Infection S

Abstract OBJECTIVE Metastatic epidural spinal cord compression is a potentially devastating complication of cancer and is estimated to occur in 5% to 14% of all cancer patients. It is best treated surgically. Minimally invasive spine surgery has the potential benefits of decreased surgical approach–related morbidity, blood loss, hospital stay, and time to mobilization. CLINICAL PRESENTATION A 36-year-old man presented with worsening back pain and lower extremity weakness. Workup revealed metastatic adenocarcinoma of the lung with spinal cord compression at T4 and T5. INTERVENTION AND TECHNIQUE T4 and T5 vertebrectomy with expandable cage placement and T1–T8 pedicle screw fixation and fusion were performed using minimally invasive surgical techniques. RESULT The patient improved neurologically and was ambulatory on postoperative day 1. At the 9-month follow-up point, he remained neurologically intact and pain free, and there was no evidence of hardware failure. CONCLUSION Minimally invasive surgical circumferential decompression may be a viable option for the treatment of metastatic epidural spinal cord compression.

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Cement leakage: safety of minimally invasive surgical techniques in the treatment of multiple myeloma vertebral lesions

European Spine Journal ◽

10.1007/s00586-012-2221-3 ◽

2012 ◽

Vol 21 (S1) ◽

pp. 61-68 ◽

Cited By ~ 16

Author(s):

Giovanni Andrea La Maida ◽

Laura Serena Giarratana ◽

Alberto Acerbi ◽

Valentina Ferrari ◽

Giuseppe Vincenzo Mineo ◽

...

Keyword(s):

Multiple Myeloma ◽

Minimally Invasive ◽

Surgical Techniques ◽

Cement Leakage ◽

Minimally Invasive Surgical

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Minimally Invasive Surgical Techniques for Cancers of the Small Intestine

Surgery for Cancers of the Gastrointestinal Tract ◽

10.1007/978-1-4939-1893-5_14 ◽

2014 ◽

pp. 157-166

Author(s):

Bestoun Ahmed ◽

Dilendra H. Weerasinghe ◽

Michael S. Nussbaum

Keyword(s):

Small Intestine ◽

Minimally Invasive ◽

Surgical Techniques ◽

Minimally Invasive Surgical

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Minimally Invasive Resection of Benign Gastric Tumors in Challenging Locations: Prepyloric Region or Gastroesophageal Junction

The American Surgeon ◽

10.1177/000313481307901002 ◽

2013 ◽

Vol 79 (10) ◽

pp. 968-972 ◽

Cited By ~ 1

Author(s):

Christopher Armstrong ◽

Alana Gebhart ◽

Brian R. Smith ◽

Ninh T. Nguyen

Keyword(s):

Minimally Invasive ◽

Perioperative Complications ◽

Wedge Resection ◽

Gastroesophageal Junction ◽

Surgical Techniques ◽

Surgical Approaches ◽

Anatomic Resection ◽

Submucosal Tumors ◽

Gastric Tumors ◽

Minimally Invasive Surgical

Benign gastric tumors in a prepyloric location or within 3 cm adjacent of the gastroesophageal junction (GEJ) are often challenging to resect using minimally invasive surgical techniques. The aim of this study was to examine the outcomes of patients who underwent minimally invasive enucleation or resection of benign gastric tumors at these difficult locations. The charts of patients undergoing minimally invasive resection of benign-appearing submucosal gastric tumors between June 2001 and December 2012 were reviewed. Data on tumor size and location, type of minimally invasive surgical resection, perioperative complications, 90-day mortality, pathology, and recurrence were collected. A total of 70 consecutive patients underwent laparoscopic resection of benign-appearing submucosal gastric tumors; there were 24 patients with lesions close to the GEJ and nine patients with lesions close to the prepyloric region. All lesions were successfully resected laparoscopically. For prepyloric tumors, surgical approaches included enucleation (n = 1), wedge resection (n = 2), and distal gastrectomy with reconstruction (n = 6). For tumors close to the GEJ, surgical approaches included enucleation (n = 16), wedge resection (n = 3), and esophagogastrectomy (n = 5). Complications in this series of 33 patients included late strictures requiring endoscopic dilation in three patients who underwent esophagogastrectomy. The 90-day mortality rate was zero. There were no recurrences over a mean follow-up of 15 months (range, 1 to 86 months). Minimally invasive enucleation or formal anatomic resection of submucosal tumors located adjacent to the GEJ or at the prepyloric region is safe and carries a low risk for tumor recurrence. Submucosal gastric lesions adjacent to the GEJ are amenable to laparoscopic enucleation or wedge resection unless they extend proximally into the esophagus. Prepyloric lesions often require formal anatomic resection with reconstruction.

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Paradigmaváltás a csontmetasztázisok sebészetében. II. Gerincmetasztázisok kezelése

Orvosi Hetilap ◽

10.1556/650.2018.30930 ◽

2018 ◽

Vol 159 (8) ◽

pp. 297-302

Author(s):

Áron Lazáry ◽

Zsolt Szövérfi ◽

Péter Pál Varga

Keyword(s):

Minimally Invasive ◽

Spinal Metastasis ◽

Treatment Options ◽

Surgical Techniques ◽

Spinal Metastases ◽

Treatment Method ◽

Minimally Invasive Surgical ◽

Published Evidence ◽

Minimally Invasive Stabilization ◽

Oncologic Treatment

Abstract: The incidence of spinal metastases is constantly growing, but due to the advancements in oncologic treatment methods, the survival and the quality of life of the patients are persistently improving. Choosing the optimal treatment method is essential, and several factors should be considered: type of the primary tumor, segmental stability, the symptoms caused by the metastasis and the general condition of the patient. Using modern radiotherapeutic methods combined with minimally invasive surgical techniques (minimally invasive stabilization, separation surgery) in the majority of patients permits adequate local control with low complication rate. In our review, we describe the state-of-the-art, modern spinal metastasis treatment options based on the recently published evidence. Orv Hetil. 2018; 159(8): 297–302.

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