Effect Analysis of Minimally Invasive Spinal Trauma Surgery Versus Traditional Open Surgery for Spinal Trauma Patients

AbstractThe development of endoscopy, microscopy, and image guidance system provided the impetus for the adoption of minimally invasive surgery (MIS) techniques in the management of spinal trauma patients. The underlying drive has been an attempt to achieve the functional and biomechanical goals inherent to trauma care but through MIS techniques. Broadly the MIS techniques for spinal trauma can be divided into two categories—fusion and nonfusion methods. Fusion methods include mini-open or keyhole approaches that allow for discectomy and/or corpectomy and cage reconstruction via an anterior/lateral/posterior operative corridor. The nonfusion methods primarily include percutaneous pedicle screw fixation, kyphoplasty, and vertebroplasty, all without placement of bone graft or other attempts at inducing arthrodesis. In this review article, we have stratified the MIS techniques based on the operative corridor used and briefly described the decision-making process, technical nuances, pros, and cons of each technique.

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Robotic Transthoracic Repair of a Right-Sided Traumatic Diaphragmatic Rupture

The Surgery Journal ◽

10.1055/s-0040-1716330 ◽

2020 ◽

Vol 06 (03) ◽

pp. e164-e166

Author(s):

Jin K. Kim ◽

Anand Desai ◽

Anastasia Kunac ◽

Aziz M. Merchant ◽

Constantinos Lovoulos

Keyword(s):

Minimally Invasive ◽

Open Surgery ◽

Damage Control ◽

Trauma Patients ◽

Transthoracic Approach ◽

Diaphragm Rupture ◽

Traumatic Diaphragmatic Rupture ◽

First Case ◽

Polytrauma Patients ◽

Injury Burden

Abstract Introduction Traumatic diaphragm rupture injury repairs are predominately performed through thoracotomy, laparotomy, or a combination of the two approaches. While open surgery is often necessary to follow the fundamentals of damage-control operations in unstable or polytrauma patients, minimally invasive surgery may be an alternative for those with a low injury burden to reduce the postoperative morbidities associated with open operations. Case Description We describe the first case of a right-sided diaphragm rupture from blunt trauma that was repaired by a robotic transthoracic approach in the index admission. Conclusion Minimally invasive repair of an acute traumatic diaphragm rupture is feasible in selected trauma patients.

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The Effect of Minimally Invasive Spinal Trauma Surgery on Spinal Trauma

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v4i3.1222 ◽

2020 ◽

Vol 4 (3) ◽

Author(s):

Zhiyi Peng

Keyword(s):

Quality Of Life ◽

Minimally Invasive ◽

Complication Rate ◽

Trauma Surgery ◽

Spinal Trauma ◽

Control Group ◽

Observation Group ◽

Treatment Results ◽

Routine Treatment

Objective: To study the effect of minimally invasive spinal trauma surgery on spinal trauma. Methods: After 60 patients with spinal trauma were selected, the patients in observation group was treated by minimally invasive spinal trauma surgery, while the patients in control group was given the routine treatment. Results: After treatment, the observation group improved significantly in operation related indexes, complication rate, pain degree, quality of life, JOA score and 0DI score(P<0.05). Conclusion: Minimally invasive spinal trauma surgery is effective in the treatment of spinal trauma.

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Faculty Opinions recommendation of Minimally invasive surgery versus open surgery for the treatment of solid abdominal and thoracic neoplasms in children.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13996966.15453073 ◽

2012 ◽

Author(s):

Neyssa Marina

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Open Surgery ◽

Thoracic Neoplasms

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Survival in endometrial cancer in relation to minimally invasive surgery or open surgery – a Swedish Gynecologic Cancer Group (SweGCG) study

BMC Cancer ◽

10.1186/s12885-021-08289-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Christer Borgfeldt ◽

Erik Holmberg ◽

Janusz Marcickiewicz ◽

Karin Stålberg ◽

Bengt Tholander ◽

...

Keyword(s):

Risk Factors ◽

Overall Survival ◽

Endometrial Cancer ◽

Minimally Invasive ◽

Cancer Patients ◽

Surgical Approach ◽

Open Surgery ◽

Gynecologic Cancer ◽

Multivariable Analysis ◽

Figo Stage

Abstract Background The aim of this study was to analyze overall survival in endometrial cancer patients’ FIGO stages I-III in relation to surgical approach; minimally invasive (MIS) or open surgery (laparotomy). Methods A population-based retrospective study of 7275 endometrial cancer patients included in the Swedish Quality Registry for Gynecologic Cancer diagnosed from 2010 to 2018. Cox proportional hazard models were used in univariable and multivariable survival analyses. Results In univariable analysis open surgery was associated with worse overall survival compared with MIS hazard ratio, HR, 1.39 (95% CI 1.18–1.63) while in the multivariable analysis, surgical approach (MIS vs open surgery) was not associated with overall survival after adjustment for known risk factors (HR 1.12, 95% CI 0.95–1.32). Higher FIGO stage, non-endometrioid histology, non-diploid tumors, lymphovascular space invasion and increasing age were independent risk factors for overall survival. Conclusion The minimal invasive or open surgical approach did not show any impact on survival for patients with endometrial cancer stages I-III when known prognostic risk factors were included in the multivariable analyses.

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Preliminary Results of Robotic Lobectomy in Stage IIIA-N2 NSCLC after Induction Treatment: A Case Control Study

Journal of Clinical Medicine ◽

10.3390/jcm10163465 ◽

2021 ◽

Vol 10 (16) ◽

pp. 3465

Author(s):

Monica Casiraghi ◽

Francesco Petrella ◽

Giulia Sedda ◽

Antonio Mazzella ◽

Juliana Guarize ◽

...

Keyword(s):

Lymph Node ◽

Minimally Invasive ◽

Open Surgery ◽

Case Control Study ◽

Locally Advanced ◽

Case Control ◽

Induction Treatment ◽

Stage Iiia ◽

Robot Assisted ◽

Control Study

Despite there already being many studies on robotic surgery as a minimally invasive approach for non-small-cell lung cancer (NSCLC) patients, the use of this technique for stage III disease is still poorly described. These are the preliminary results of our prospective study on the safety and effectiveness of robotic approaches in patients with locally advanced NSCLC in terms of postoperative complications and oncological outcomes. Since 2016, we prospectively investigated 19 consecutive patients with NSCLC stage IIIA-pN2 (diagnosed by EBUS-TBNA) who underwent lobectomy and radical lymph node dissection with robotic approaches after induction treatment. Furthermore, we matched a case-control study with 46 patients treated with open surgery during the same period of time, with similar age, comorbidities, clinical stage and tumor size. The individual matched population was composed of 16 robot-assisted thoracic surgeries and 16 patients who underwent open surgery. The median time range of resection was inferior in the open group compared to robotic lobectomy (243 vs. 161 min; p < 0.001). Lymph node resection and positivity were not significantly different (p = 0.96 and p = 0.57, respectively). Moreover, no difference was observed for PFS (p = 0.16) or OS (p = 0.41). In conclusion, we demonstrated that the early outcomes and oncological results of N2-patients after robotic lobectomy were similar to those who had open surgery. Considering the advantages of minimally invasive surgery, robot-assisted lobectomy appears to be a safe approach to patients with locally advanced diseases.

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