Left internal iliac artery and vein tear during microendoscopic lumbar discectomy – a case report
Left internal iliac artery and vein tear during microendoscopic lumbar discectomy – a case report
复制标题
显微内窥镜腰椎间盘切除术中左髂内动脉和静脉撕裂——病例报告
DOI：
--
复制
发表时间：
2006
期刊：
影响因子：
--
通讯作者：
S. Lee
中科院分区：
文献类型：
--
作者：
Chung;Wei;S. Lee
随着微创技术在外科专业中的普及，显微内窥镜椎间盘切除术已被誉为最新和最好的椎间盘切除方法之一。虽然问题是不寻常的和罕见的，并发症，可以与此过程中应认识到。医源性大血管损伤是显微内窥镜椎间盘切除术中罕见但严重的并发症，由于手术位置、脊柱的特殊解剖结构以及患者表现出的体征和症状的细微变化，早期发现是困难的。在此，我们报告一位女性病患，在显微内视镜腰椎间盘切除术中发生左髂内动脉及静脉撕裂。我们的结论是，外科医生和麻醉师都应该意识到这种并发症的可能性在手术过程中。当这种并发症发生时，至关重要的是，在关键时期立即应用正确的危机解决方案，如适当的大量输血算法和成功的外科干预。
As minimally invasive techniques have gained popularity across surgical specialties, microendoscopic discectomy has been hailed as one of the newest and best methods for disc removal. Although problems are unusual and infrequent, the complications that can be associated with this procedure should be realized. Iatrogenic major vascular injury is a rare but serious complication during microendoscopic discectomy, and early detection is difficult due to the surgical positions, the specific anatomy of the spine, and the subtle changes of signs and symptoms the patient manifests. Here, we present a female patient who suffered from left internal iliac artery and vein tear during microendoscopic lumbar discectomy. We conclude that both surgeons and anesthesiologists should be aware of the possibility of this complication during surgery. When this complication occurs, it is vitally important that the correct crisis resolution protocols, such as proper massive transfusion algorithm and successful surgical interventions, be applied immediately during the critical period.