Video-assisted Thoracoscopic Excision of Herniated Thoracic Disc: Description of Technique and Preliminary Experience in the First 29 Cases

摘要: This study evaluates the technique and results of video-assisted thoracoscopic surgery (VATS) for treatment symptomatic thoracic disc herniation. Results were compared with a literature review open surgical techniques excision regard to efficacy, safety, outcomes. VATS has recently been described as having advantage decreased postoperative pain morbidity, faster patient recovery, shortened intensive care unit (ICU) hospitalization. Twenty-nine consecutive patients underwent Herniations ranging from T5-6 T12-L1 successfully approached by using three- or four-portal strategy. Postoperative magnetic resonance imaging (MRI) scans evaluated. Pre- Oswestry Disability Questionnaires Linear Analog Pain Scale data obtained. Patients grouped according presenting symptoms. The minimal follow-up was 1 year (range, 12-24 months). Mean operative time 175 min 29 patients. Significant improvement (p < 0.01, paired t test) recorded in Tests. Of patients, 75.8% (22) satisfied, 3.4% (one) unsatisfied, 20.1% (six) unchanged. Narcotic use significantly eliminated reduced. return work 5 weeks (private insurance) 21 (workers compensation). complication rate 13.8%. appears be safe efficacious method excising herniated discs. Follow-up at resulted high satisfaction. advantages include length hospitalization well improved comfort.