Surgery Today

, Volume 32, Issue 2, pp 155–158

A Combined Thoracoscopic and Posterior-Spinal Approach for "Dumbbell" Neurofibroma Minimizes the Anatomical Destruction of the Vertebrae: Report of a Case

  • Takeshi Shiraishi
  • Shin-ichi Hida
  • Teruo Isayama
  • Satoshi Yoneda
  • Katsunobu Kawahara
  • Takayuki Shirakusa

Abstract

A dumbbell-shaped neurogenic tumor was resected using a combined approach employing a thoracoscopic procedure and limited laminectomy. The part of the tumor at the thoracic cavity was first amputated at the orifice of the foramen and then removed. Part of the spinal canal and intervertebral foramen was then removed by means of limited laminectomy without facetectomy. As a result, surgery was performed with a minimum of surgical stress and the patient did not require vertebral instrumentation.

Key words Video-assisted thoracoscopic surgery Neurofibroma Dumbbell tumor 

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Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Takeshi Shiraishi
    • 1
  • Shin-ichi Hida
    • 2
  • Teruo Isayama
    • 2
  • Satoshi Yoneda
    • 1
  • Katsunobu Kawahara
    • 1
  • Takayuki Shirakusa
    • 1
  1. 1.Departments of Surgery II andJP
  2. 2.Orthopedic Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanJP

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