A technical report on video-assisted thoracoscopy in thoracic spinal surgery : preliminary description

This report is a preliminary description of the efficacy of video-assisted thoracoscopic surgery in thoracic spinal procedures that otherwise require open thoracotomy. This report sought to describe the efficacy of video-assisted thoracoscopic surgery in thoracic spinal procedures that otherwise req...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1995-04, Vol.20 (7), p.831-837
Main Authors: REGAN, J. J, MACK, M. J, PICETTI, G. D
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Diskectomy - methods
Female
Humans
Intervertebral Disc Displacement - surgery
Length of Stay
Male
Medical sciences
Middle Aged
Orthopedic surgery
Pain, Postoperative - epidemiology
Postoperative Complications - epidemiology
Spinal Diseases - surgery
Spinal Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Television
Thoracic Vertebrae - surgery
Thoracoscopy - methods
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Summary:This report is a preliminary description of the efficacy of video-assisted thoracoscopic surgery in thoracic spinal procedures that otherwise require open thoracotomy. This report sought to describe the efficacy of video-assisted thoracoscopic surgery in thoracic spinal procedures that otherwise require open thoracotomy. In a landmark study that compared video-assisted thoracoscopic surgery for peripheral lung lesions with thoracotomy, video-assisted thoracoscopic surgery reduced postoperative pain, improved early shoulder girdle function, and shortened hospital stay. Video-assisted thoracoscopic surgery was performed in 12 thoracic spinal patients (herniated nucleus pulposus, infection, tumor, or spinal deformity) and is described in detail in this report. Video-assisted thoracoscopic surgery in thoracic spinal surgery resulted in little postoperative pain, short intensive care unit and hospital stays, and little or no morbidity. In the short follow-up period, there was no post-thoracotomy pain syndrome nor neurologic sequelae in these patients. Operative time decreased dramatically as experience was gained with the procedure. Given consistently improving surgical skills, a number of thoracic spinal procedures using video-assisted thoracoscopic surgery, including thoracic discectomy, internal rib thoracoplasty, anterior osteotomy, corpectomy, and fusion, can be performed safely with no additional surgical time or risk to the patient.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199504000-00018