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[Comparison between minimally invasive surgery and traditional laminectomy in the resection of schwannoma of lumbar vertebra].
Zhonghua Yi Xue Za Zhi. 2020 Feb 04; 100(4):274-278.ZY

Abstract

Objective:

To explore the application, advantages and disadvantages of minimally invasive surgery for lumbar schwannoma.

Methods:

this study was a prospective, non-randomized controlled study with a trial group (minimally invasive surgery group) and a control group (traditional laminectomy group).For the patients with lumbar schwannoma hospitalized in the neurosurgical spinal ward of Beijing Tian Tan hospital, the surgeon communicated with them one-on-one to inform the patients of the advantages and disadvantages of minimally invasive surgery through channels and traditional laminectomy. After the surgical risks and their respective advantages and disadvantages were identified, patients who underwent minimally invasive surgery to remove tumors through the channel were admitted to the channel surgery group according to the wishes of the patients; otherwise, patients who underwent traditional laminectomy were included in the control group. From December 2017 to March 2019, a total of 15 patients (experimental group) were treated with minimally invasive surgery. A total of 15 patients with tumors similar in size and location to those in the experimental group were selected from the control group who were hospitalized during the same period for traditional laminectomy. Relevant clinical data of the two groups of patients were collected and analyzed, including preoperative lesion imaging characteristics, intraoperative blood loss, operation time, postoperative hospital stay, postoperative complications, symptom improvement, etc.

Results:

the operating time of the experimental group and the control group was (157±27) min and (158±29) min, respectively (P=0.897). Intraoperative blood loss was (66±27) ml and (110±43) ml, respectively (P=0.020). The mean hospital stay was (7.60±1.29) days and (11.67±1.23) days, respectively (P=0.000). Postoperative JOA scores were 26.73±2.84 and 26.60±2.41, respectively (P=0.891). Postoperative VAS scores were 0.40±1.12 and 0.27±0.71, respectively (P=0.699).The mean blood loss and hospital stay in the experimental group were significantly lower than those in the control group, the difference in operation time between the two groups was not significant, and there was no difference in neurological function results.

Conclusion:

In certain types of lumbar schwannoma tumors (non-giant tumors), minimally invasive resection through channels has the advantages of less surgical trauma, less bleeding, faster recovery and definite curative effect, which is a safe and effective surgical treatment.

Authors+Show Affiliations

Department of Neurosurgery, Tian Tan Hospital of Capital Medical University, Beijing 100071, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

chi

PubMed ID

32075355

Citation

Jiang, W J., et al. "[Comparison Between Minimally Invasive Surgery and Traditional Laminectomy in the Resection of Schwannoma of Lumbar Vertebra]." Zhonghua Yi Xue Za Zhi, vol. 100, no. 4, 2020, pp. 274-278.
Jiang WJ, Wang YZ, Yang J, et al. [Comparison between minimally invasive surgery and traditional laminectomy in the resection of schwannoma of lumbar vertebra]. Zhonghua Yi Xue Za Zhi. 2020;100(4):274-278.
Jiang, W. J., Wang, Y. Z., Yang, J., & Jia, W. Q. (2020). [Comparison between minimally invasive surgery and traditional laminectomy in the resection of schwannoma of lumbar vertebra]. Zhonghua Yi Xue Za Zhi, 100(4), 274-278. https://doi.org/10.3760/cma.j.issn.0376-2491.2020.04.007
Jiang WJ, et al. [Comparison Between Minimally Invasive Surgery and Traditional Laminectomy in the Resection of Schwannoma of Lumbar Vertebra]. Zhonghua Yi Xue Za Zhi. 2020 Feb 4;100(4):274-278. PubMed PMID: 32075355.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparison between minimally invasive surgery and traditional laminectomy in the resection of schwannoma of lumbar vertebra]. AU - Jiang,W J, AU - Wang,Y Z, AU - Yang,J, AU - Jia,W Q, PY - 2020/2/21/entrez PY - 2020/2/23/pubmed PY - 2020/2/26/medline KW - Lumbar KW - Minimally invasive surgery KW - Spinal cord neoplasm SP - 274 EP - 278 JF - Zhonghua yi xue za zhi JO - Zhonghua Yi Xue Za Zhi VL - 100 IS - 4 N2 - Objective: To explore the application, advantages and disadvantages of minimally invasive surgery for lumbar schwannoma. Methods: this study was a prospective, non-randomized controlled study with a trial group (minimally invasive surgery group) and a control group (traditional laminectomy group).For the patients with lumbar schwannoma hospitalized in the neurosurgical spinal ward of Beijing Tian Tan hospital, the surgeon communicated with them one-on-one to inform the patients of the advantages and disadvantages of minimally invasive surgery through channels and traditional laminectomy. After the surgical risks and their respective advantages and disadvantages were identified, patients who underwent minimally invasive surgery to remove tumors through the channel were admitted to the channel surgery group according to the wishes of the patients; otherwise, patients who underwent traditional laminectomy were included in the control group. From December 2017 to March 2019, a total of 15 patients (experimental group) were treated with minimally invasive surgery. A total of 15 patients with tumors similar in size and location to those in the experimental group were selected from the control group who were hospitalized during the same period for traditional laminectomy. Relevant clinical data of the two groups of patients were collected and analyzed, including preoperative lesion imaging characteristics, intraoperative blood loss, operation time, postoperative hospital stay, postoperative complications, symptom improvement, etc. Results: the operating time of the experimental group and the control group was (157±27) min and (158±29) min, respectively (P=0.897). Intraoperative blood loss was (66±27) ml and (110±43) ml, respectively (P=0.020). The mean hospital stay was (7.60±1.29) days and (11.67±1.23) days, respectively (P=0.000). Postoperative JOA scores were 26.73±2.84 and 26.60±2.41, respectively (P=0.891). Postoperative VAS scores were 0.40±1.12 and 0.27±0.71, respectively (P=0.699).The mean blood loss and hospital stay in the experimental group were significantly lower than those in the control group, the difference in operation time between the two groups was not significant, and there was no difference in neurological function results. Conclusion: In certain types of lumbar schwannoma tumors (non-giant tumors), minimally invasive resection through channels has the advantages of less surgical trauma, less bleeding, faster recovery and definite curative effect, which is a safe and effective surgical treatment. SN - 0376-2491 UR - https://www.unboundmedicine.com/medline/citation/32075355/[Comparison_between_minimally_invasive_surgery_and_traditional_laminectomy_in_the_resection_of_schwannoma_of_lumbar_vertebra] L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&DOI=10.3760/cma.j.issn.0376-2491.2020.04.007 DB - PRIME DP - Unbound Medicine ER -