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Assessment of related surgical complications of minimally invasive retropleural approach to the thoraco-lumbar spine.
- Source :
-
Revista espanola de cirugia ortopedica y traumatologia (English ed.) [Rev Esp Cir Ortop Traumatol (Engl Ed)] 2019 May - Jun; Vol. 63 (3), pp. 209-216. Date of Electronic Publication: 2018 Dec 31. - Publication Year :
- 2019
-
Abstract
- Objective: To review the complications associated with the minimally invasive retropleural approach used in the anterior approach to the thoraco-lumbar spine.<br />Material and Method: We present the MIS surgical technique and the evaluation of data collected prospectively from the initial series of 31 patients undergoing surgery. Pleural opening during the approach, lung complications derived, other surgical complications, time of intervention, intraoperative bleeding, need for transfusion and hospital stay are evaluated.<br />Discussion: The mean age of the patients was 58years, the surgical time 225min, and the bleeding 274ml, with a 13% postoperative transfusion. Intraoperatively, pleural opening was detected in 8 cases, of which none had major pulmonary complications during the postoperative period. There were 3 cases of mild pleural effusion, all patients without pleural opening, and one case of haemopneumothorax due to intercostal vessel bleeding that required reoperation. The percentage of intercostal neuralgia was 3%. The mean hospital stay was 6.7days, and 24 of 31 patients were able to initiate early mobilization on the first postoperative day.<br />Conclusions: The retropleural approach allows the surgical treatment of pathologies requiring anterior access to the thoraco-lumbar spine, with a low profile of pulmonary complications, and with the advantages of minimally invasive techniques in terms of less bleeding, early recovery and shorter hospital stay. Nevertheless the learning curve is long.<br /> (Copyright © 2018 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Blood Transfusion
Female
Hemorrhage etiology
Herniorrhaphy
Humans
Intraoperative Complications etiology
Length of Stay
Male
Middle Aged
Minimally Invasive Surgical Procedures adverse effects
Minimally Invasive Surgical Procedures methods
Neuralgia etiology
Operative Time
Pleura surgery
Pleural Effusion etiology
Pneumothorax etiology
Postoperative Complications etiology
Prospective Studies
Reoperation
Retrospective Studies
Scoliosis surgery
Spinal Fractures surgery
Thoracotomy methods
Lumbar Vertebrae surgery
Postoperative Complications diagnosis
Thoracic Vertebrae surgery
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2173-576X
- Volume :
- 63
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Revista espanola de cirugia ortopedica y traumatologia (English ed.)
- Publication Type :
- Academic Journal
- Accession number :
- 30606644
- Full Text :
- https://doi.org/10.1016/j.recot.2018.10.005