Microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach

doi:10.3877/cma.j.issn.2095-123X.2021.06.010

Abstract

Abstract:

Objective

To investigate the technical characteristics and therapeutic effect of lateral retroperitoneal microsurgery in the treatment of lumbar paravertebral tumors.

Methods

The clinical data of 6 cases of lumbar paravertebral tumors surgery through lateral retroperitoneal approach in the Neurospinal Center of Xuanwu Hospital of Capital Medical University from June 2019 to December 2020 were retrospectively analyzed. The average operation time, blood loss, Incision length, resection rate, length of hospital stay, activities of daily living (ADL) score and postoperative complications were analyzed.

Results

The operation time ranged from 56 to 181 min, the amount of bleeding ranged from 5 to 100 mL, the length of surgical incision ranged from 6 to 7 cm, and the hospital stay ranged from 5 to 11 d. The resection rate of paravertebral tumor was 100%. Postoperative pathological diagnosis included schwannoma in 4 cases, ganglioneuroma in 1 case and small round cell malignant tumor in 1 case. After 3 months of follow-up, there was no recurrence, no abdominal infection, no incision infection, no incisional hernia, no death, and no significant decrease in ADL score.

Conclusion

The lateral retroperitoneal approach in the treatment of lumbar paravertebral tumors has the characteristics of short operation time, minimally invasive, rapid recovery and few complications, which is worthy of clinical promotion.

Key words: Lateral retroperitoneal approach, Lumbar paravertebral tumors, Microsurgery

Shichao Chen, Kai Wang, Zuowei Wang, Hao Wu. Microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2021, 11(06): 366-369.

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References 15

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序号	性别	年龄（岁）	侧别	节段	手术时间（min）	住院时间（d）	ADL评分
序号	性别	年龄（岁）	侧别	节段	手术时间（min）	住院时间（d）	术前	术后	随访3个月
1	男	64	左	L1	56	9	100	90	100
2	男	29	右	T12~L1	61	6	100	90	100
3	男	44	左	L2~3	114	11	100	85	95
4	男	66	右	L5	97	5	100	65	90
5	男	19	左	L5~S1	60	11	100	100	100
6	男	31	左	L1~3	181	10	100	95	100

序号	性别	年龄（岁）	侧别	节段	手术时间（min）	住院时间（d）	ADL评分
序号	性别	年龄（岁）	侧别	节段	手术时间（min）	住院时间（d）	术前	术后	随访3个月
1	男	64	左	L1	56	9	100	90	100
2	男	29	右	T12~L1	61	6	100	90	100
3	男	44	左	L2~3	114	11	100	85	95
4	男	66	右	L5	97	5	100	65	90
5	男	19	左	L5~S1	60	11	100	100	100
6	男	31	左	L1~3	181	10	100	95	100

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