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一个用于腰部微内镜手术的新型内镜端口单元:单中心病例系列审查

Vicente de Paulo Martins Coelho Junior^1,2, Anthony M Alvarado³, Richard G Fessler³

¹Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA. vicente.coelho@alumni.usp.br.

Neurosurgical review

|July 26, 2024

概括

新的TELIGEN内镜平台增强了微创脊柱手术,提供了更好的可视化和手术机动性. 早期的结果显示,解压和融合程序的结果很有希望.

科学领域:

神经外科神经外科
最少侵入性的脊柱手术
手术技术手术技术

背景情况:

微创脊柱手术提供临床和成本效益的好处.
微内镜程序将内镜可视化与双手手术能力结合在一起.
现有的内镜技术在外科操作性方面存在局限性.

研究的目的:

通过使用TELIGEN内镜平台,对最初病例的外科数据进行回顾.
描述使用TELIGEN执行程序的技术方面和初步结果.
评估TELIGEN平台在优化微内镜脊柱手术方面的潜力.

主要方法:

以后回顾25个连续使用TELIGEN内镜平台的病例.
程序包括微内镜断层切除术 (MED),狭窄症解压 (MEDS) 和变形椎间体融合 (ME-TLIF).
收集的数据包括患者人口统计数据,手术细节,血液损失,住院,手术时间和辐射剂量.

主要成果:

进行了17项仅限减压的手术 (MED,MEDS) 和8项微内镜式的形腰椎体融合手术 (ME-TLIF).
平均随访时间为341.7天.
针对每种手术类型,报告了估计的血液损失,住院时间,手术时间和辐射剂量的具体数据.

结论:

该TELIGEN内镜平台提供了一个扩展的外科视野.
泰利根的工程效益为微创脊柱手术提供了一个有希望的进步.
需要进一步的研究来充分确定这个新平台的长期疗效和益处.

关键词:

案件系列案件系列通过内镜辅助的脊柱手术进行脊柱手术.腰椎脊柱的腰椎脊柱是指腰椎脊柱的部分.最少侵入性的脊柱手术跨形腰椎体内融合

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