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首页> 外文期刊>Surgical Endoscopy >New instrumentation for video-assisted anterior spine release.
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New instrumentation for video-assisted anterior spine release.

机译：视频辅助前棘释放的新仪器。

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摘要

Endoscopic surgery in the area of orthopedics has been evolving, particularly in spine surgery. We describe the clinical outcome of thoracoscopic anterior spine release using new instruments. A harmonic scalpel (HS) with a 5-mm hook dissector was used to dissect the spine and rib and to coagulate and transect the vascular bundles. A rib dissector and resector were used for excision of the rib to be implanted in the disk spaces. We treated scoliosis in four patients (three male, one female) with a mean age of 19.5 +/- 4.5 years and thoracolumbar kyphosis in a 16-year-old male patient. A mean number of 6.5 +/- 2.5 vertebrae with scoliosis and four vertebrae with kyphosis were released. In all cases, division of the vascular bundle and exposure of the spine were completed using only the HS, and excision of a rib segment was performed via a port incision using only the rib dissector and resector. The mean duration of thoracoscopic anterior release was 92 +/- 28 min. Blood loss was minimal during and after surgery. Thoracoscopic anterior spine release can be facilitated by the new instruments described above.
机译：骨科领域的内窥镜手术一直在发展，特别是在脊柱手术中。我们描述了使用新仪器进行胸腔镜前路脊柱松解的临床结果。使用具有5毫米钩状解剖器的谐波解剖刀（HS）解剖脊柱和肋骨，并凝结和横切血管束。使用肋骨解剖器和切除器切除要植入椎间盘空间的肋骨。我们治疗了4名平均年龄为19.5 +/- 4.5岁的脊柱侧弯（三名男性，一名女性），并在16岁的男性患者中治疗了胸腰椎后凸畸形。脊柱侧凸的平均椎骨数量为6.5 +/- 2.5，而后凸畸形的椎骨数量平均为4。在所有情况下，仅使用HS即可完成血管束的分割和脊柱的暴露，仅使用肋骨解剖器和切除器通过端口切口进行肋骨节段的切除。胸腔镜前释放的平均持续时间为92 +/- 28分钟。术中和术后失血最少。可以通过上述新器械促进胸腔镜前路脊柱的释放。

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