Abstract
BACKGROUND andPURPOSE: During the last 3 years, a minimally invasive
video-assisted approach for parathyroidectomy and thyroidectomy has been
developed. Because of the good exposure of the cervical spine during these
procedures, the authors decided to perform an anatomic-radiologic study in order
to evaluate which cervical vertebrae could be reached by this minimally invasive
approach. PATIENTS and
METHODS: Three consenting patients, two undergoing minimally invasive
parathyroidectomy and one a conventional operation for C4-C5 disc herniation,
were selected for this study. The procedure was carried out through a single
1.5-cm central skin incision above the sternal notch. After opening of the
cervical linea alba, dissection was performed under endoscopic vision, without
using any CO2 insufflation or trocar. After exposure of the prevertebral fascia,
an operative tube was introduced through the cervical incision in order to
maintain the operative space without using conventional retractors.
RESULTS: Through this operative tube, it was possible to introduce both a 5-mm
(or 3-mm) endoscope and the surgical instruments. In our patients, we inserted a
1-mm metal probe to exactly localize during fluoroscopy the vertebrae reached by
the dissection (C2-C7).
CONCLUSIONS: This study shows the feasibility of an anterior minimally invasive
approach to the cervical spine. Although the exact indications have to be
verified, a video-assisted approach could add some advantages to the well-known
benefits coming from the anterior approaches to the cervical spine, especially in
terms of cosmetic results and postoperative course and recovery.
Original language | English |
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Pages (from-to) | 89-92 |
Number of pages | 4 |
Journal | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES |
Volume | 11 |
DOIs | |
Publication status | Published - 2001 |
Keywords
- Cervical Vertebrae
- Feasibility Studies
- Fluoroscopy
- Humans
- Intervertebral Disc Displacement
- Parathyroidectomy
- Surgical Procedures, Minimally Invasive
- Treatment Outcome
- Video-Assisted Surgery