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Objective To investigate the clinical outcomes of percutaneous endoscopic cervical discectomy with lamina-hole approach for cervical radiculopathy. Methods A retrospective case series study was conducted to analyze clinical data of 30 patients with cervical radiculopathy admitted in our department from May 2018 to December 2019. All patients underwent percutaneous endoscopic cervical discectomy with lamina-hole approach. The operative time, intraoperative blood loss, intraoperative complications were collected and analyzed. Neck disability index (NDI) and visual analogue scale (VAS) of neck and arm were used preoperatively, postoperatively and at the end of follow-up. Results All patients successfully completed the operation. Their operation time was 30~200 (84.5±36.5) min, and the intraoperative blood loss was 5~50 (20.5±11.8) mL. No neurovascular injury was observed intra-operatively and post-operatively. The follow-up time was 9~23 (14.3±4.0) months. The NDI scores were decreased from 61.3±13.2 pre-operatively to 26.6±7.4 post-operatively (P < 0.01), and further reduced to 9.8±3.5 at the last follow-up (P < 0.01). The VAS scores of the neck and arm were 5.2±0.7 and 6.5±1.1 before operation, and decreased to 3.1±0.7 and 2.8±0.7 (P < 0.01) after operation, respectively. At the last follow-up, the values were further reduced to 0.6±0.8 and 0.5±0.6 (P < 0.01), respectively. Conclusion Percutaneous endoscopic cervical discectomy with lamina-hole approach is a new option for cervical radiculopathy, and can achieve the decompression of nerve root with preserving facet joint integrally.

Background and objective Complete thoracoscopic surgery has advanced, and its indication has also been extended to complex procedures. The aim of this study is to investigate the feasibility of complete single-utility-port thoracoscopic lobectomy with rib resection. Methods A patient was diagnosed with lung cancer and single-rib metastasis. The patient received lobectomy and segment costectomy through complete single-utility-port thoracoscopic surgery. The literature was also reviewed. Results The tumor was staged at T1N1M1. The patient made an uneventful recovery and was dismissed on day 4 after surgery. At the last follow-up, the patient was alive and well, with no evidence of the disease at 18 months postoperatively. Conclusion Highly selected cases of lung cancer with single-rib metastasis are appropriate candidates for complete single-utility-port thoracoscopic resection.

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