胸椎和腰椎原发性肿瘤的全脊椎切除术：综述文章

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2024-10-28 DOI:10.1016/j.semss.2024.101137

Takaki Shimizu , Satoshi Kato , Noriaki Yokogawa , Takaaki Uto , Yuji Ishino , Kazuhiro Nanpo , Megumu Kawai , Hideki Murakami , Satoru Demura

{"title":"胸椎和腰椎原发性肿瘤的全脊椎切除术：综述文章","authors":"Takaki Shimizu , Satoshi Kato , Noriaki Yokogawa , Takaaki Uto , Yuji Ishino , Kazuhiro Nanpo , Megumu Kawai , Hideki Murakami , Satoru Demura","doi":"10.1016/j.semss.2024.101137","DOIUrl":null,"url":null,"abstract":"<div><div>Primary spine tumors present significant clinical challenges due to their potential for local invasiveness and metastasis. Total en bloc spondylectomy (TES) has emerged as a feasible surgical technique for the complete resection of thoracic and lumbar spinal tumors, providing superior local control and long-term survival benefits. This review synthesized the current evidence and clinical experiences and demonstrated that TES achieved lower recurrence rates and higher disease-free survival than those of piecemeal resection. Despite the high perioperative complication rates, TES is essential for treating primary spine tumors. The importance of skilled surgical teams to optimize patient outcomes has been emphasized.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 4","pages":"Article 101137"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Total en bloc spondylectomy for primary tumors of the thoracic and lumbar spine: A review article\",\"authors\":\"Takaki Shimizu , Satoshi Kato , Noriaki Yokogawa , Takaaki Uto , Yuji Ishino , Kazuhiro Nanpo , Megumu Kawai , Hideki Murakami , Satoru Demura\",\"doi\":\"10.1016/j.semss.2024.101137\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Primary spine tumors present significant clinical challenges due to their potential for local invasiveness and metastasis. Total en bloc spondylectomy (TES) has emerged as a feasible surgical technique for the complete resection of thoracic and lumbar spinal tumors, providing superior local control and long-term survival benefits. This review synthesized the current evidence and clinical experiences and demonstrated that TES achieved lower recurrence rates and higher disease-free survival than those of piecemeal resection. Despite the high perioperative complication rates, TES is essential for treating primary spine tumors. The importance of skilled surgical teams to optimize patient outcomes has been emphasized.</div></div>\",\"PeriodicalId\":39884,\"journal\":{\"name\":\"Seminars in Spine Surgery\",\"volume\":\"36 4\",\"pages\":\"Article 101137\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in Spine Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1040738324000601\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738324000601","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

原发性脊柱肿瘤由于其潜在的局部侵袭性和转移性，给临床带来了巨大挑战。全脊椎整体切除术（TES）已成为彻底切除胸椎和腰椎肿瘤的可行手术技术，可提供出色的局部控制和长期生存优势。这篇综述综合了当前的证据和临床经验，证明 TES 比零碎切除术的复发率更低，无病生存率更高。尽管围手术期并发症发生率较高，但TES对于治疗原发性脊柱肿瘤仍是必不可少的。熟练的手术团队对优化患者预后的重要性已得到强调。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Total en bloc spondylectomy for primary tumors of the thoracic and lumbar spine: A review article

Primary spine tumors present significant clinical challenges due to their potential for local invasiveness and metastasis. Total en bloc spondylectomy (TES) has emerged as a feasible surgical technique for the complete resection of thoracic and lumbar spinal tumors, providing superior local control and long-term survival benefits. This review synthesized the current evidence and clinical experiences and demonstrated that TES achieved lower recurrence rates and higher disease-free survival than those of piecemeal resection. Despite the high perioperative complication rates, TES is essential for treating primary spine tumors. The importance of skilled surgical teams to optimize patient outcomes has been emphasized.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.