Microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach
Year: 2022
Type: preprint
Study design: Case Report
Abstract: Objective To investigate the surgical techniques and post-operative therapeutic effectiveness of microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach. Methods The clinical data of 6 cases with lumbar paravertebral tumors that went through surgical treatment via lateral retroperitoneal approach in the Neurospine Center of Xuanwu Hospital, Capital Medical University were retrospectively analyzed. The average operation time, volume of blood loss, incision length, length of hospitalization, and the resection rate of paravertebral tumors were collected, score of The Ability to Perform Activities of Daily Living (ADL) and incidents of postoperative complications were recorded. Results The operation time ranged from 56 to 181 minutes, with an average of (94.8 ± 48.3) minutes. The volume of blood loss was between 5-100ml, with an average of (31.7 ± 37.5) ml. The length of the surgical incision was 6-7cm, with an average of (6.7 ± 0.5) cm. The hospitalization length was between 5–11 days, with an average of (8.7 ± 2.6) days. The resection rate of paravertebral tumors was 100%. Postoperative pathological diagnosis result revealed 4 cases of schwannoma, 1 case of ganglioneuroma, 1 case of malignant small round cell tumor. During the 3-month follow-up, there was no recurrence of tumors, no abdominal cavity infection and no incisional infection, no incisional hernia, no death cases, and there was no significant decrease of the ADL score compared with that score before the operation. Conclusion The surgical treatment of lumbar paravertebral tumors via the lateral retroperitoneal approach has the advantages of short operation time, minimally invasive procedures, quick postoperative recovery, and few complications.
Source: Research Square
Authors: Lei Zhang, Shichao Chen, Kai Wang, Hao Wu
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4221022473