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Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures
Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae. Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368208/ https://www.ncbi.nlm.nih.gov/pubmed/22693665 http://dx.doi.org/10.1155/2012/365814 |
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author | Magno, Priscilla Khashab, Mouen A. Mas, Manuel Giday, Samuel A. Buscaglia, Jonathan M. Shin, Eun Ji Dray, Xavier Kalloo, Anthony N. |
author_facet | Magno, Priscilla Khashab, Mouen A. Mas, Manuel Giday, Samuel A. Buscaglia, Jonathan M. Shin, Eun Ji Dray, Xavier Kalloo, Anthony N. |
author_sort | Magno, Priscilla |
collection | PubMed |
description | Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae. Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum was attained using submucosal tunneling technique. Results. The posterior mediastinum was successfully accessed and navigated in all animals. Vertebral bodies and intervertebral spaces were easily approached while avoiding damage to adjacent vessels. Bone biopsy was successfully performed without complications, but the hardness of bone tissue resulted in small and fragmented samples. Conclusions. Peroral transesophageal access into the posterior mediastinum and thoracic vertebral bone biopsy was feasible and safe. The proximity of the esophagus to the vertebral column provides close and direct access to the thoracic spine and opens up new ground for the performance of multilevel anterior spine procedures using NOTES techniques. |
format | Online Article Text |
id | pubmed-3368208 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-33682082012-06-12 Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures Magno, Priscilla Khashab, Mouen A. Mas, Manuel Giday, Samuel A. Buscaglia, Jonathan M. Shin, Eun Ji Dray, Xavier Kalloo, Anthony N. Minim Invasive Surg Research Article Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae. Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum was attained using submucosal tunneling technique. Results. The posterior mediastinum was successfully accessed and navigated in all animals. Vertebral bodies and intervertebral spaces were easily approached while avoiding damage to adjacent vessels. Bone biopsy was successfully performed without complications, but the hardness of bone tissue resulted in small and fragmented samples. Conclusions. Peroral transesophageal access into the posterior mediastinum and thoracic vertebral bone biopsy was feasible and safe. The proximity of the esophagus to the vertebral column provides close and direct access to the thoracic spine and opens up new ground for the performance of multilevel anterior spine procedures using NOTES techniques. Hindawi Publishing Corporation 2012 2012-05-24 /pmc/articles/PMC3368208/ /pubmed/22693665 http://dx.doi.org/10.1155/2012/365814 Text en Copyright © 2012 Priscilla Magno et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Magno, Priscilla Khashab, Mouen A. Mas, Manuel Giday, Samuel A. Buscaglia, Jonathan M. Shin, Eun Ji Dray, Xavier Kalloo, Anthony N. Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures |
title | Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures |
title_full | Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures |
title_fullStr | Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures |
title_full_unstemmed | Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures |
title_short | Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures |
title_sort | natural orifice translumenal endoscopic surgery for anterior spinal procedures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368208/ https://www.ncbi.nlm.nih.gov/pubmed/22693665 http://dx.doi.org/10.1155/2012/365814 |
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