UNILATERAL APPROACH FOR HEMIVERTEBRECTOMY IN TREATMENT OF LUNG CANCER WITH VERTEBRA INVASION
Journal Title: Journal of Turkish Spinal Surgery - Year 2017, Vol 28, Issue 4
Abstract
Purpose: The aim of the study is to show the results of hemivertebrectomy with only unilateral approach in treatment of lung cancer with vertebra invasion. Material and Method: Ten patients with an average age of 59 (49-65) years with lung cancer with thoracal vertebra invasion were operated between 2008 and 2015. Biopsy was performed in all patients for diagnosis. The diagnosis of the patients was, non-small cell carcinoma in seven patients, squamous cell carcinoma in two patients and adenocarcinoma in one patient. Chemotherapy and 60 GyRT radiotherapy were given before surgery. Unilateral thoracal spine exposure was used for vertebra resection after limited laminectomy and root sacrification. Results: In patients who undergone vertebral resection, the resected segments were between T2 and T5. Mean resected vertebrae count was 3 (2-4) and mean corpus resection extent was 40.5% (30-69). Mean follow-up duration of the patient was 24 months (8-84) .1 year survival rates of the patients included were 70%, while 5-year survival rates were 10 %. Conclusion: In treatment of lung cancer with spine invasion, it is possible to achieve clear surgical margins. Due to lack of the enough strength to prevent deformity from unharmed anatomic structure, strong instrumentations are necessary.
Authors and Affiliations
Turgut AKGÜL, Berker ÖZKAN, Salih DUMAN, Mehmet CHODZA, Serkan BAYRAM, Cüneyt ŞAR
Keywords
Related Articles
- EP ID EP676971
- DOI -
- Views 164
- Downloads 0
INTRAOPERATIVE AUTOLOGOUS BLOOD TRANSFUSİON İN SPINAL SURGERY
We evaluated the effectiveness of intraoperative autologous blood in reduction of the need for transfusion of ho-mologous blood in majör spinal surgery in two patient groups. İn Group A (30 patients) autologous blood and...
THE ACCURACY OF COMPUTERIZED TOMOGRAPHYIN CLASSIFYING THE PENETRATIONS OF THE SCREWS INSERTED IN THE LUMBAR VERTEBRAE USING THE FUNNEL TECHNIQUE, THROUGH THE PEDICLES AND THE CORPUS AS CRITICAL OR NON-CRITICAL
Objective: Procedures about spinal surgery are generally stili performed with conventional techniques using anatomical landmarks due to high costs, long operating processes and difficult techniques of navigation syste...
VERTEBRAL HYDATID DISEASE AND ITS TREATMENT BY ANTERIOR-POSTERIOR RADICAL EXCISION, FUSION AND CHEMOTHERAPY WITH ALBENDAZOLE: CASE REPORT AND RESULTS OF AN ELEVEN YEAR FOLLOW-UP
A hydatid cyst is a zoonosis caused by the larval form of the parasitic tapeworm Echinococcus granulosus. Here, we present a case of a vertebral hydatid cyst with paravertebral abscesses, operated 11 years ago. A 32-year...
CORRECTIVE OSTEOTOMIES IN SPINE DEFORMITIES
Severe deformities of spine are problematic because of the difficulty of surgical treatment. These deformities can cause functional disability as a result of impairment of postur and normal gait. Also, they can be relate...
TUBERCULOUS SPONDYLITIS
We treated twelve patients with spinal tuberculosis. The average age was 20J5 years (Range, 3 to 50 years) Five patients had neurological lesions. Our indications for spinal operations were, neurological impairment sp...