Posterolateral approach to intradural extramedullary thoracic tumors.
Posterolateral approach to intradural extramedullary thoracic tumors.
复制标题
硬膜内胸髓外肿瘤的后外侧入路。
DOI：
10.3171/jns.1994.81.2.0202
复制
发表时间：
1994
影响因子：
4.1
通讯作者：
R. Fessler
中科院分区：
文献类型：
--
作者：
John C. Steck;D. Dietze;R. Fessler
经后外侧入路成功切除6例腹侧硬膜下肿瘤。这种方法允许直接可视化的腹侧和背侧边界的肿瘤与最小的操作脊髓。与传统的椎板切除术相比，手术时间增加，但肿瘤和脊髓的可视化显着改善。与经胸入路相比，后外侧入路潜在的并发症较少，并消除了椎体切除的必要性。所有6例患者均出现神经功能改善。我们认为，这种入路对于治疗腹侧硬膜内胸部肿瘤具有显著的优势，应被视为经胸入路的替代方法。
Six ventrally located intradural thoracic tumors were successfully resected through the posterolateral approach. This approach allows direct visualization of the ventral and dorsal boundaries of the tumor with minimal manipulation of the spinal cord. Compared to the traditional laminectomy, the operative time is increased but visualization of the tumor and spinal cord is markedly improved. Compared to the transthoracic approach, the posterolateral approach has fewer potential complications and eliminates the necessity of vertebrectomy. Neurological improvement occurred in all six patients. It is believed that this approach offers significant advantages for the treatment of ventrally located intradural thoracic tumors, and should be considered an alternative to the transthoracic approach.