内窥镜手术的常见并发症及处理

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2024-03-01 DOI:10.1016/j.semss.2024.101087

Javier Quillo-Olvera, Javier Quillo-Reséndiz, Michelle Barrera-Arreola

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引用次数: 0

摘要

事实证明，内窥镜脊柱手术（ESS）的临床效果与传统的开放式神经元减压手术相似。内窥镜脊柱手术具有术后疼痛较轻、术中出血较少、术后阿片类药物用量较少、活动较早和住院时间较短等优点。然而，这些技术也存在潜在灾难性并发症的风险。这篇叙述性综述讨论了全内镜手术中最常见的并发症：硬脑膜损伤、减压不足和复发、术后硬膜外血肿、术后疼痛和感染。此外，针对每种并发症还补充了预防和处理这些并发症的实用建议。

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Common complications with endoscopic surgery and management

Endoscopic spine surgery (ESS) has proved to have similar clinical outcomes to those obtained with conventional surgical open options to decompress neural elements. Advantages such as less postoperative pain, intraoperative bleeding, postoperative opioid consumption, earlier mobilization, and shorter hospital stays are related to ESS. However, these techniques are also associated with risks of potentially catastrophic complications. This narrative review discusses the most common complications in full-endoscopy: dural injury, insufficient decompression and recurrence, postoperative epidural hematoma, postoperative dysesthesia, and infection. Moreover, practical advice to prevent and manage them has added to each complication.

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.