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| JＩ Peigang,ＬＩ Jin,JIA Lu.Combined thoracoscopic and semi-laminectomy for thoracic spinal canal dumbbell-shaped tumor[J].Chinese Journal of Spine and Spinal Cord,2010,20(1):39-42. |
| Combined thoracoscopic and semi-laminectomy for thoracic spinal canal dumbbell-shaped tumor |
| Received:August 05, 2009 Revised:September 22, 2009 |
| English Keywords:Ｄumbbell tumors Ｔhoracic spine Ｔhoracoscopic surgery Ｓemi-laminectomy |
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| English Abstract: |
| 【Abstract】 Objective：To investigate the clinical efficacy of combined thoracoscopic and semi-laminectomy for the treatment of thoracic spinal canal dumbbell-shaped tumor．Method：Six patients complicated with thoracic spinal canal dumbbell-shaped tumor experienced combined thoracoscopic and semi-laminectomy between July 2007 and January 2009．There were 4 males and 2 females with an average age of 35.5 years（range，25 to 63 years）.The clinical outcome was evaluated and the status of tumor excision as well as effect on spine stability were also assessed by MRI during follow up.Result：Complete tumor excision was performed in all cases with no death noted．The average surgical time was 3.8h（range，3 to 5h）.The average blood loss was 130ml（range，80 to 300ml）.All skin excision healed well，with no case of cerebrospinal fluid leakage and chest cavity infection.Parthenogenesis included neurilemmoma（5 cases） and meningioma（1 case）.All patients had clinical symptoms improved.Thoracodorsal pain disappeared in all cases，2 of 3 cases with spinal cord compression preoperatively had neurofunction improved completely，while another case had muscle strength of lower limbs recovered to level 4+.No tumor recurrence and spine instability was noted in 2-years follow-up．Conclusion：Combined thoracoscopic and semi-laminectomy indicated for thoracic spinal canal dumbbell-shaped tumor is feasible and safety. |
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