胸腔鏡視下に摘出した胸椎椎間板ヘルニアの 1 例

概要

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Endoscopic microsurgery for spinal disorders has become a well-established, valuable approach during the past decade. We report on a patient with herniated thoracic discs which were removed using thoracoscopy. A 56-year-old man noted acute onset of burning pain at the right lateral abdomen. Two weeks later, he also presented with gait disturbance. Neurological examination revealed left spastic gait and increased deep tendon reflexes in both lower extremities. Magnetic resonance imagings indicated mild compression of the spinal cord caused by protruded thoracic discs at the T6/7 and T7/8 levels. A double-lumen endotracheal tube was inserted to allow intraoperative single-lung ventilation. The patients was placed in a lateral position and four flexible portals were inserted into the thoracic cavity. Following that procedrue, the proximal ribs were removed. Discectomy was performed at the T6/7 and T7/8 levels. Upon discharge, the patient had no neurological deficit except right T7 neuralgia. It was considered that video-assisted thoracoscopic surgery was useful for thoracic surgery.
日本脊髄外科学会の論文
2001-07-31