The role of thoracic surgeons in spinal surgery: our clinical experiences.

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiothoracic Surgery Pub Date : 2025-07-14 DOI:10.1186/s13019-025-03537-0

Kadir Baturhan Ciflik, Busra Ozdemir Ciflik, Yucel Akkas, Suleyman Anil Akboga, Anil Gokce, Ercan Bal, Mehmet Atif Erol Aksekili, Bulent Kocer

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引用次数: 0

Abstract

Objective: In the thoracic area, the outside edge of the vertebrae exhibits intricate anatomical features. A multidisciplinary approach is necessary, particularly in scoliosis surgery, while performing manipulations on the vertebra from the front. Our objective in this study was to enhance the existing body of knowledge by sharing our firsthand experience in the field of spinal surgery.

Methods: We have seen a total of 35 cases in our investigation. When doing vertebral body tethering (VBT) in chosen scoliosis patients, thoracoscopy and thoracotomy have been the favored methods. On the other hand, alternative circumstances have favored the usual thoracotomy method.

Results: We operated on three (8.6%) patients for trauma, six (17.1%) for mass, and 26 (74.2%) for scoliosis. Twenty (57.1%) of the patients operated for scoliosis underwent VBT. In patients undergoing VBT, a greater number of vertebrae were accessed thoracoscopy compared to thoracotomy (p = 0.003). There was no significant difference between the two groups in terms of chest tube follow-up time, length of stay in the intensive care unit, and hospital stay (p = 0.451, p = 0.403, p = 0.125).

Conclusion: Our investigation demonstrated that the thoracoscopy is capable of intervening with a greater number of vertebrae compared to thoracotomy. Thoracic surgeons primarily focus their research on masses and trauma related to spinal surgery. Our study's large patient population with scoliosis surgery adds to the existing body of knowledge in the field of thoracic surgery. This study is significant as it is the second in the existing literature to document the experiences of thoracic surgeons from Turkey use of VBT.

Clinical trial number: Not applicable.

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胸外科医生在脊柱外科中的作用：我们的临床经验。

目的：在胸椎区域，椎体外缘具有复杂的解剖特征。多学科的方法是必要的，特别是在脊柱侧凸手术中，同时从前部对椎体进行操作。我们在这项研究中的目的是通过分享我们在脊柱外科领域的第一手经验来加强现有的知识体系。方法：共收治35例。在选择脊柱侧凸患者进行椎体系扎术时，胸腔镜和开胸术一直是首选的方法。另一方面，其他情况也有利于通常的开胸手术。结果：创伤3例（8.6%），肿块6例（17.1%），脊柱侧凸26例（74.2%）。20例（57.1%）脊柱侧凸患者行VBT。在接受VBT的患者中，与开胸手术相比，胸腔镜下进入椎体的数量更多（p = 0.003）。两组患者胸管随访时间、重症监护病房住院时间、住院时间差异无统计学意义（p = 0.451, p = 0.403, p = 0.125）。结论：我们的研究表明，与开胸手术相比，胸腔镜能够介入更多的椎骨。胸外科医生主要研究与脊柱手术相关的肿块和创伤。我们研究的大量脊柱侧凸手术患者增加了胸外科领域现有的知识体系。这项研究意义重大，因为它是现有文献中第二项记录土耳其胸外科医生使用VBT的经验。临床试验号：不适用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiothoracic Surgery 医学-心血管系统

CiteScore

2.50

自引率

6.20%

发文量

286

审稿时长

4-8 weeks

期刊介绍： Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.