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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Pleura of the Lungs01:13

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The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Pneumothorax-I01:26

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Updated: Jan 3, 2026

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

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Retropleural Thoracic Approach.

Joshua T Wewel1, Juan S Uribe2

  • 1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 2910 North 3rd Avenue, Phoenix, AZ 85013, USA.

Neurosurgery Clinics of North America
|November 20, 2019
PubMed
Summary
This summary is machine-generated.

The lateral retropleural thoracic approach provides minimally invasive access for treating thoracic spine issues like herniated discs. This technique reduces the higher risks associated with traditional anterior or posterolateral surgeries.

Keywords:
Minimally invasive surgeryRetropleural approachThoracic discectomyThoracic herniated disc

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Minimally Invasive Spine Surgery

Background:

  • Traditional approaches for thoracic spine pathology include posterolateral and anterior methods.
  • These traditional methods are associated with increased patient morbidity.
  • Minimally invasive techniques are sought to improve surgical outcomes and reduce complications.

Purpose of the Study:

  • To describe the lateral retropleural thoracic approach for minimally invasive spine surgery.
  • To detail the application of this approach for thoracic herniated discs and other pathologies.
  • To provide a comprehensive guide including preoperative, intraoperative, and postoperative considerations.

Main Methods:

  • The lateral retropleural thoracic approach is detailed.
  • Preoperative workup and surgical planning are outlined.
  • Intraoperative steps, tips, and postoperative care are described.

Main Results:

  • The lateral retropleural approach offers minimally invasive access to the thoracic spine.
  • This approach is effective for treating thoracic herniated discs.
  • It allows for the management of various pathologies including corpectomy, tumors, and trauma.

Conclusions:

  • The lateral retropleural thoracic approach is a viable minimally invasive option for thoracic spine pathology.
  • It presents an alternative with potentially lower morbidity compared to traditional methods.
  • This technique facilitates comprehensive treatment of diverse thoracic spinal conditions.