Minimally invasive resection of large ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Minimally invasive resection of large dumbbell tumors of the lumbar spine: advantages and pitfalls
Auteur(s) :
Zairi, Fahed [Auteur]
Troux, Camille [Auteur]
Sunna, Tarek [Auteur]
Karnoub, Melodie-Anne [Auteur]
Boubez, Ghassan [Auteur]
Shedid, Daniel [Auteur]
Troux, Camille [Auteur]
Sunna, Tarek [Auteur]
Karnoub, Melodie-Anne [Auteur]
Boubez, Ghassan [Auteur]
Shedid, Daniel [Auteur]
Titre de la revue :
Clinical Neurology and Neurosurgery
Nom court de la revue :
Clin. Neurol. Neurosurg.
Numéro :
168
Pagination :
91-96
Date de publication :
2018-05-01
ISSN :
0303-8467
Mot(s)-clé(s) :
Minimally invasive
Dumbbell tumor
Biopsy
Schwannoma
Dumbbell tumor
Biopsy
Schwannoma
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
OBJECTIVES: The surgical management of dumbbell tumors of the lumbar spine remains controversial, because of their large volume and complex location, involving both the spinal canal and the retro peritoneum. While sporadically ...
Lire la suite >OBJECTIVES: The surgical management of dumbbell tumors of the lumbar spine remains controversial, because of their large volume and complex location, involving both the spinal canal and the retro peritoneum. While sporadically reported, our study aims to confirm the value of minimally invasive posterior access for the complete resection of large lumbar dumbbell tumors. PATIENTS AND METHODS: In this prospective study, we included all consecutive patients who underwent the resection of a voluminous dumbbell tumor at the lumbar spine through a minimally invasive approach, between March 2015 and August 2017. There were 4 men and 4 women, with a mean age at diagnosis of 40.6 years (range 29-58 years). The resection was performed through a trans muscular tubular retractor by the same surgical team. Operative parameters and initial postoperative course were systematically reported. Clinical and radiological monitoring was scheduled at 3 months, 1year and 2years. RESULTS: The mean operative time was 144min (range 58-300 minutes) and the mean estimated blood loss was 250ml (range 100-500ml). Gross total resection was achieved in all patients. No major complication was reported. The mean length of hospital stay was 3.1 days (range 2 to 6 days). Histological analysis confirmed the diagnosis of grade 1 schwannoma in all patients. The mean follow up period was 14.9 months (range 6 to 26 months), and 5 patients completed at least 1-year follow-up. At 6 months the Macnab was excellent in 6 patients, good in one patient and fair in one patient because of residual neuropathic pain requiring the maintenance of a long-term treatment. No tumor recurrence was noted to date. CONCLUSION: Lumbar dumbbell tumors can be safely and completely resected using a single-stage minimally invasive procedure, in a trained team.Lire moins >
Lire la suite >OBJECTIVES: The surgical management of dumbbell tumors of the lumbar spine remains controversial, because of their large volume and complex location, involving both the spinal canal and the retro peritoneum. While sporadically reported, our study aims to confirm the value of minimally invasive posterior access for the complete resection of large lumbar dumbbell tumors. PATIENTS AND METHODS: In this prospective study, we included all consecutive patients who underwent the resection of a voluminous dumbbell tumor at the lumbar spine through a minimally invasive approach, between March 2015 and August 2017. There were 4 men and 4 women, with a mean age at diagnosis of 40.6 years (range 29-58 years). The resection was performed through a trans muscular tubular retractor by the same surgical team. Operative parameters and initial postoperative course were systematically reported. Clinical and radiological monitoring was scheduled at 3 months, 1year and 2years. RESULTS: The mean operative time was 144min (range 58-300 minutes) and the mean estimated blood loss was 250ml (range 100-500ml). Gross total resection was achieved in all patients. No major complication was reported. The mean length of hospital stay was 3.1 days (range 2 to 6 days). Histological analysis confirmed the diagnosis of grade 1 schwannoma in all patients. The mean follow up period was 14.9 months (range 6 to 26 months), and 5 patients completed at least 1-year follow-up. At 6 months the Macnab was excellent in 6 patients, good in one patient and fair in one patient because of residual neuropathic pain requiring the maintenance of a long-term treatment. No tumor recurrence was noted to date. CONCLUSION: Lumbar dumbbell tumors can be safely and completely resected using a single-stage minimally invasive procedure, in a trained team.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
INSERM
Université de Lille
Université de Lille
Date de dépôt :
2022-06-15T13:58:30Z