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Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings

Objective: This report aims to describe the surgical methodology and potential effectiveness of endoscopic separation surgery (ESS) in patients with metastatic spine disease. This concept may reduce the invasiveness of the procedure, which can potentially speed up the wound healing process and, thus...

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Autores principales: Latka, Kajetan, Kolodziej, Waldemar, Pawlak, Kornel, Sobolewski, Tomasz, Rajski, Rafal, Chowaniec, Jacek, Olbrycht, Tomasz, Tanaka, Masato, Latka, Dariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10221713/
https://www.ncbi.nlm.nih.gov/pubmed/37241225
http://dx.doi.org/10.3390/medicina59050993
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author Latka, Kajetan
Kolodziej, Waldemar
Pawlak, Kornel
Sobolewski, Tomasz
Rajski, Rafal
Chowaniec, Jacek
Olbrycht, Tomasz
Tanaka, Masato
Latka, Dariusz
author_facet Latka, Kajetan
Kolodziej, Waldemar
Pawlak, Kornel
Sobolewski, Tomasz
Rajski, Rafal
Chowaniec, Jacek
Olbrycht, Tomasz
Tanaka, Masato
Latka, Dariusz
author_sort Latka, Kajetan
collection PubMed
description Objective: This report aims to describe the surgical methodology and potential effectiveness of endoscopic separation surgery (ESS) in patients with metastatic spine disease. This concept may reduce the invasiveness of the procedure, which can potentially speed up the wound healing process and, thus, the possibility of faster application of radiotherapy. Materials and Methods: In this study, separation surgery for preparing patients for stereotactic body radiotherapy (SBRT) was performed with fully endoscopic spine surgery (FESS) followed by percutaneous screw fixation (PSF). Results: Three patients with metastatic spine disease in the thoracic spine were treated with fully endoscopic spine separation surgery. The first case resulted in the progression of paresis symptoms that resulted in disqualification from further oncological treatment. The remaining two patients achieved satisfactory clinical and radiological effects and were referred for additional radiotherapy. Conclusions: With advancements in medical technology, such as endoscopic visualization, and new tools for coagulation, we can treat more and more spine diseases. Until now, spine metastasis was not an indication for the use of endoscopy. This method is very technically challenging and risky, especially at such an early stage of application, due to variations in the patient’s condition, morphological diversity, and the nature of metastatic lesions in the spine. Further trials are needed to determine whether this new approach to treating patients with spine metastases is a promising breakthrough or a dead end.
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spelling pubmed-102217132023-05-28 Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings Latka, Kajetan Kolodziej, Waldemar Pawlak, Kornel Sobolewski, Tomasz Rajski, Rafal Chowaniec, Jacek Olbrycht, Tomasz Tanaka, Masato Latka, Dariusz Medicina (Kaunas) Case Report Objective: This report aims to describe the surgical methodology and potential effectiveness of endoscopic separation surgery (ESS) in patients with metastatic spine disease. This concept may reduce the invasiveness of the procedure, which can potentially speed up the wound healing process and, thus, the possibility of faster application of radiotherapy. Materials and Methods: In this study, separation surgery for preparing patients for stereotactic body radiotherapy (SBRT) was performed with fully endoscopic spine surgery (FESS) followed by percutaneous screw fixation (PSF). Results: Three patients with metastatic spine disease in the thoracic spine were treated with fully endoscopic spine separation surgery. The first case resulted in the progression of paresis symptoms that resulted in disqualification from further oncological treatment. The remaining two patients achieved satisfactory clinical and radiological effects and were referred for additional radiotherapy. Conclusions: With advancements in medical technology, such as endoscopic visualization, and new tools for coagulation, we can treat more and more spine diseases. Until now, spine metastasis was not an indication for the use of endoscopy. This method is very technically challenging and risky, especially at such an early stage of application, due to variations in the patient’s condition, morphological diversity, and the nature of metastatic lesions in the spine. Further trials are needed to determine whether this new approach to treating patients with spine metastases is a promising breakthrough or a dead end. MDPI 2023-05-21 /pmc/articles/PMC10221713/ /pubmed/37241225 http://dx.doi.org/10.3390/medicina59050993 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Latka, Kajetan
Kolodziej, Waldemar
Pawlak, Kornel
Sobolewski, Tomasz
Rajski, Rafal
Chowaniec, Jacek
Olbrycht, Tomasz
Tanaka, Masato
Latka, Dariusz
Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings
title Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings
title_full Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings
title_fullStr Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings
title_full_unstemmed Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings
title_short Fully Endoscopic Spine Separation Surgery in Metastatic Disease—Case Series, Technical Notes, and Preliminary Findings
title_sort fully endoscopic spine separation surgery in metastatic disease—case series, technical notes, and preliminary findings
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10221713/
https://www.ncbi.nlm.nih.gov/pubmed/37241225
http://dx.doi.org/10.3390/medicina59050993
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