Journal of Korean Neurosurgical Society
- 제29권12호
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- Pages.1677-1681
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
내시경을 이용한 경흉강 늑막외측 접근 흉추 추간판 절제술 3례 - 수술수기 증례보고 -
Transthoracic-Extrapleural Approach for Microsurgical Thoracic Discectomy with Video Assistance - Technical Report of Three Cases -
- 이상호 (우리들병원 신경외과) ;
- 전상협 (우리들병원 흉부외과.심장혈관과) ;
- 최종렬 (우리들병원 신경외과) ;
- 이호연 (우리들병원 신경외과) ;
- 정병주 (우리들병원 신경외과) ;
- 임상락 (우리들병원 일반외과)
- Lee, Sang-Ho (Neurosurgery, Wooridul Spine Hospital) ;
- Jeon, Sang-Hyeop (Thoracic & Cardiovascular Surgery, Wooridul Spine Hospital) ;
- Choi, Jong-Yeul (Neurosurgery, Wooridul Spine Hospital) ;
- Lee, Ho-Yeon (Neurosurgery, Wooridul Spine Hospital) ;
- Jung, Byung-Joo (Neurosurgery, Wooridul Spine Hospital) ;
- Lim, Sang-Rak (General Surgery, Wooridul Spine Hospital)
- 투고 : 2000.07.03
- 심사 : 2000.08.04
- 발행 : 2000.12.28
초록
Microsurgical transthoracic extrapleural approach for thoracic discectomy in three cases were modified and simplified in order to achieve better exposure of ventral extradural space than posterolateral extrapleural(lateral extracavitary) approach and less pulmonary complications than transthoracic transpleural approach. These approaches were optimized by microscope and video-assistance. Surgery was followed by clinical improvement in all patients. The results of treatment seem to support the use of these modified techniques as adequate surgical treatment of thoracic disc herniations without any complications.