Thoracoscopic removing of paravertebral neurinoma
Keywords:paravetebral tumors, neuroma, toracoscopic approach
Transthoracic endoscopic surgery is an effective alternative method for removing of intrathoracic schwannomas, neurofibromas or other neurogenic tumors with large extravertebrales component.
Thoracoscopic removing of intrathoracic paravertebral tumor in female patient aged 55 was performed.
The patient was discharged on the 5th day after surgery in a good condition without neurological worsening.
Opertive technique used for endoscopic resection of intrathoracic tumors of the nerve roots is relatively simple, and similar to that of open surgery. Thoracoscopy is an excellent alternative to thoracotomy for removing tumors of the chest and intervertebral foramen. However, thoracoscopy is beside the purpose at intradural tumors, compressing the spinal cord, because it is difficult to ensure endoscopic tight closure of dural sac. Large tumors with «sandglass» shape, widely penetrated in the intradural spinal canal and into the chest should be removed by stages, beginning with open resection of their posterolateral intradural part, then thoracoscopicaly removing of the part remaining. The results of such treatment are always better, with less posteoperative pain, less duration of treatment in the hospital.
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