BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral comp...BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral compression fractures.We herein report such a case,including the patient’s treatment process and doctor’s surgical experience.CASE SUMMARY A 79-year-old man presented with symptoms of radiculopathy after sustaining L4 vertebral compression fractures.Imaging and physical examination revealed L4 vertebral compression fractures combined with L3/4 Lumbar foraminal stenosis(LFS).The patient’s symptoms were low back pain with pain in the lateral left leg.Although many reports have described radiculopathy induced by osteoporotic vertebral compression fractures,the use of FESS combined with PVP has rarely been reported.This case report indicates that the combination of FESS and PVP is a safe and effective approach for the treatment of LFS-induced radiculopathy after vertebral compression fractures.This minimally invasive technique has great potential to replace traditional lumbar fixation and decompression surgery.Thus,we suggest the continued accumulation of similar cases to discuss the wider application of FESS.CONCLUSION For patients with osteoporotic vertebral compression fracture(OVCF)and LFS,PVP and FESS can be used to restore the vertebral height and reduce the pressure around the intervertebral foramen.Additionally,the combination of FESS and PVP can treat the pain or numbness of the low back and lower limbs and allow for recovery in a short time with excellent postoperative effects.In general,FESS is a good treatment for radiculopathy caused by foraminal stenosis after OVCF.展开更多
Transvaginal natural orifice transluminal endoscopic surgery(vNOTES),as a minimally invasive surgery technique,applies CO_(2) for creating pneumoperitoneum,and uses a closed system to through smoke evacuation from a d...Transvaginal natural orifice transluminal endoscopic surgery(vNOTES),as a minimally invasive surgery technique,applies CO_(2) for creating pneumoperitoneum,and uses a closed system to through smoke evacuation from a dedicated outlet or port.It has the potential to generate aerosol in the operation room,which can lead to an increased risk of transmission of SARS-CoV-2.This technical note introduces a new technique of gasless pure vNOTES to hysterectomy using silicone face mask as a modified vNOTES port.展开更多
目的研制免气腹内置充气式术野形成装置(laparoscopic operation field formation,LOFF)并通过动物实验应证其应用可行性。方法采用免气腹、内置、充气膨胀形成腹腔镜术野的思路,研制出中空三棱柱状LOFF操作平台。应用此平台完成7头猪...目的研制免气腹内置充气式术野形成装置(laparoscopic operation field formation,LOFF)并通过动物实验应证其应用可行性。方法采用免气腹、内置、充气膨胀形成腹腔镜术野的思路,研制出中空三棱柱状LOFF操作平台。应用此平台完成7头猪的免气腹单孔腹腔镜胆囊切除术。结果 7头猪应用LOFF平台行免气腹单孔腹腔镜胆囊切除术,6台顺利完成,术中手术平均时间为(41.33±17.68)min。1台改为双孔完成手术,术后全部存活,均无出血、胆漏等并发症。结论动物实验结果显示应用LOFF平台的免气腹单孔腹腔镜胆囊切除术是安全、可行的。展开更多
基金Supported by National Natural Science Foundation of China,No.81972108.
文摘BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral compression fractures.We herein report such a case,including the patient’s treatment process and doctor’s surgical experience.CASE SUMMARY A 79-year-old man presented with symptoms of radiculopathy after sustaining L4 vertebral compression fractures.Imaging and physical examination revealed L4 vertebral compression fractures combined with L3/4 Lumbar foraminal stenosis(LFS).The patient’s symptoms were low back pain with pain in the lateral left leg.Although many reports have described radiculopathy induced by osteoporotic vertebral compression fractures,the use of FESS combined with PVP has rarely been reported.This case report indicates that the combination of FESS and PVP is a safe and effective approach for the treatment of LFS-induced radiculopathy after vertebral compression fractures.This minimally invasive technique has great potential to replace traditional lumbar fixation and decompression surgery.Thus,we suggest the continued accumulation of similar cases to discuss the wider application of FESS.CONCLUSION For patients with osteoporotic vertebral compression fracture(OVCF)and LFS,PVP and FESS can be used to restore the vertebral height and reduce the pressure around the intervertebral foramen.Additionally,the combination of FESS and PVP can treat the pain or numbness of the low back and lower limbs and allow for recovery in a short time with excellent postoperative effects.In general,FESS is a good treatment for radiculopathy caused by foraminal stenosis after OVCF.
文摘Transvaginal natural orifice transluminal endoscopic surgery(vNOTES),as a minimally invasive surgery technique,applies CO_(2) for creating pneumoperitoneum,and uses a closed system to through smoke evacuation from a dedicated outlet or port.It has the potential to generate aerosol in the operation room,which can lead to an increased risk of transmission of SARS-CoV-2.This technical note introduces a new technique of gasless pure vNOTES to hysterectomy using silicone face mask as a modified vNOTES port.
文摘目的研制免气腹内置充气式术野形成装置(laparoscopic operation field formation,LOFF)并通过动物实验应证其应用可行性。方法采用免气腹、内置、充气膨胀形成腹腔镜术野的思路,研制出中空三棱柱状LOFF操作平台。应用此平台完成7头猪的免气腹单孔腹腔镜胆囊切除术。结果 7头猪应用LOFF平台行免气腹单孔腹腔镜胆囊切除术,6台顺利完成,术中手术平均时间为(41.33±17.68)min。1台改为双孔完成手术,术后全部存活,均无出血、胆漏等并发症。结论动物实验结果显示应用LOFF平台的免气腹单孔腹腔镜胆囊切除术是安全、可行的。
