Technique of video-assisted thoracoscopic surgery for the spine: New approach

Tsung Jen Huang, Robert Wen Wei Hsu, Hui Ping Liu, Yi Shyan Liao, Hsin Nung Shih

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Although video-assisted thoracoscopy has only recently been applied to treat a variety of thoracic spine lesions, many problems and difficulties are encountered with this technique owing to limited trocar space and lack of suitable endoscopic instruments. Between November 1995 and March 1996, we practiced a new approach for video-assisted thoracoscopic surgery, the 'extended manipulating channel method,' for treating 18 patients with thoracic spinal lesions endoscopically. The thoracoscopic portals were made larger (usually 3-4 cm) and placed slightly more posterior than usual, which allows use of a combination of conventional spinal instruments and video- assisted thoracoscopy to enter the chest cavity and be manipulated similar to that with techniques used for standard open surgical procedures. In our series the endoscopic spinal procedures included biopsy only (n = 1, thoracic discectomy (n = 1), multilevel anterior discectomy and fusion (n = l), corpectomy for decompression (n = 4), decompressions and interbody fusions (n = 10), and internal instrumentations (n = 4). Throughout the operation only one trocar was used for introducing the thoracoscope. There were no intraoperative deaths, and no patients showed neurologic deterioration due to the procedures. We conclude that such a technique makes thoracoscopy-assisted spinal surgery simpler and easier and has proved to be an effective, promising procedure. It does not appear to compromise the therapeutic goals set for the patients. The intraoperative vessel bleeding can be easily controlled, and the number of portals for the procedures can be reduced (on average, three portals are enough). Few endoscopic materials were used with our patients, and thus the total economic cost to the patients was reduced.

Original languageEnglish
Pages (from-to)358-362
Number of pages5
JournalWorld Journal of Surgery
Volume21
Issue number4
Publication statusPublished - 1997
Externally publishedYes

Fingerprint

Video-Assisted Thoracic Surgery
Spine
Thoracoscopy
Thorax
Diskectomy
Decompression
Surgical Instruments
Thoracoscopes
Nervous System
Economics
Hemorrhage
Biopsy
Costs and Cost Analysis

ASJC Scopus subject areas

  • Surgery

Cite this

Huang, T. J., Hsu, R. W. W., Liu, H. P., Liao, Y. S., & Shih, H. N. (1997). Technique of video-assisted thoracoscopic surgery for the spine: New approach. World Journal of Surgery, 21(4), 358-362.

Technique of video-assisted thoracoscopic surgery for the spine : New approach. / Huang, Tsung Jen; Hsu, Robert Wen Wei; Liu, Hui Ping; Liao, Yi Shyan; Shih, Hsin Nung.

In: World Journal of Surgery, Vol. 21, No. 4, 1997, p. 358-362.

Research output: Contribution to journalArticle

Huang, TJ, Hsu, RWW, Liu, HP, Liao, YS & Shih, HN 1997, 'Technique of video-assisted thoracoscopic surgery for the spine: New approach', World Journal of Surgery, vol. 21, no. 4, pp. 358-362.
Huang, Tsung Jen ; Hsu, Robert Wen Wei ; Liu, Hui Ping ; Liao, Yi Shyan ; Shih, Hsin Nung. / Technique of video-assisted thoracoscopic surgery for the spine : New approach. In: World Journal of Surgery. 1997 ; Vol. 21, No. 4. pp. 358-362.
@article{5878050cebf54d54a4a3b2dd2aa0165e,
title = "Technique of video-assisted thoracoscopic surgery for the spine: New approach",
abstract = "Although video-assisted thoracoscopy has only recently been applied to treat a variety of thoracic spine lesions, many problems and difficulties are encountered with this technique owing to limited trocar space and lack of suitable endoscopic instruments. Between November 1995 and March 1996, we practiced a new approach for video-assisted thoracoscopic surgery, the 'extended manipulating channel method,' for treating 18 patients with thoracic spinal lesions endoscopically. The thoracoscopic portals were made larger (usually 3-4 cm) and placed slightly more posterior than usual, which allows use of a combination of conventional spinal instruments and video- assisted thoracoscopy to enter the chest cavity and be manipulated similar to that with techniques used for standard open surgical procedures. In our series the endoscopic spinal procedures included biopsy only (n = 1, thoracic discectomy (n = 1), multilevel anterior discectomy and fusion (n = l), corpectomy for decompression (n = 4), decompressions and interbody fusions (n = 10), and internal instrumentations (n = 4). Throughout the operation only one trocar was used for introducing the thoracoscope. There were no intraoperative deaths, and no patients showed neurologic deterioration due to the procedures. We conclude that such a technique makes thoracoscopy-assisted spinal surgery simpler and easier and has proved to be an effective, promising procedure. It does not appear to compromise the therapeutic goals set for the patients. The intraoperative vessel bleeding can be easily controlled, and the number of portals for the procedures can be reduced (on average, three portals are enough). Few endoscopic materials were used with our patients, and thus the total economic cost to the patients was reduced.",
author = "Huang, {Tsung Jen} and Hsu, {Robert Wen Wei} and Liu, {Hui Ping} and Liao, {Yi Shyan} and Shih, {Hsin Nung}",
year = "1997",
language = "English",
volume = "21",
pages = "358--362",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York LLC",
number = "4",

}

TY - JOUR

T1 - Technique of video-assisted thoracoscopic surgery for the spine

T2 - New approach

AU - Huang, Tsung Jen

AU - Hsu, Robert Wen Wei

AU - Liu, Hui Ping

AU - Liao, Yi Shyan

AU - Shih, Hsin Nung

PY - 1997

Y1 - 1997

N2 - Although video-assisted thoracoscopy has only recently been applied to treat a variety of thoracic spine lesions, many problems and difficulties are encountered with this technique owing to limited trocar space and lack of suitable endoscopic instruments. Between November 1995 and March 1996, we practiced a new approach for video-assisted thoracoscopic surgery, the 'extended manipulating channel method,' for treating 18 patients with thoracic spinal lesions endoscopically. The thoracoscopic portals were made larger (usually 3-4 cm) and placed slightly more posterior than usual, which allows use of a combination of conventional spinal instruments and video- assisted thoracoscopy to enter the chest cavity and be manipulated similar to that with techniques used for standard open surgical procedures. In our series the endoscopic spinal procedures included biopsy only (n = 1, thoracic discectomy (n = 1), multilevel anterior discectomy and fusion (n = l), corpectomy for decompression (n = 4), decompressions and interbody fusions (n = 10), and internal instrumentations (n = 4). Throughout the operation only one trocar was used for introducing the thoracoscope. There were no intraoperative deaths, and no patients showed neurologic deterioration due to the procedures. We conclude that such a technique makes thoracoscopy-assisted spinal surgery simpler and easier and has proved to be an effective, promising procedure. It does not appear to compromise the therapeutic goals set for the patients. The intraoperative vessel bleeding can be easily controlled, and the number of portals for the procedures can be reduced (on average, three portals are enough). Few endoscopic materials were used with our patients, and thus the total economic cost to the patients was reduced.

AB - Although video-assisted thoracoscopy has only recently been applied to treat a variety of thoracic spine lesions, many problems and difficulties are encountered with this technique owing to limited trocar space and lack of suitable endoscopic instruments. Between November 1995 and March 1996, we practiced a new approach for video-assisted thoracoscopic surgery, the 'extended manipulating channel method,' for treating 18 patients with thoracic spinal lesions endoscopically. The thoracoscopic portals were made larger (usually 3-4 cm) and placed slightly more posterior than usual, which allows use of a combination of conventional spinal instruments and video- assisted thoracoscopy to enter the chest cavity and be manipulated similar to that with techniques used for standard open surgical procedures. In our series the endoscopic spinal procedures included biopsy only (n = 1, thoracic discectomy (n = 1), multilevel anterior discectomy and fusion (n = l), corpectomy for decompression (n = 4), decompressions and interbody fusions (n = 10), and internal instrumentations (n = 4). Throughout the operation only one trocar was used for introducing the thoracoscope. There were no intraoperative deaths, and no patients showed neurologic deterioration due to the procedures. We conclude that such a technique makes thoracoscopy-assisted spinal surgery simpler and easier and has proved to be an effective, promising procedure. It does not appear to compromise the therapeutic goals set for the patients. The intraoperative vessel bleeding can be easily controlled, and the number of portals for the procedures can be reduced (on average, three portals are enough). Few endoscopic materials were used with our patients, and thus the total economic cost to the patients was reduced.

UR - http://www.scopus.com/inward/record.url?scp=0030888056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030888056&partnerID=8YFLogxK

M3 - Article

C2 - 9143564

AN - SCOPUS:0030888056

VL - 21

SP - 358

EP - 362

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 4

ER -