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Titolo:
FIRST EXPERIENCE WITH LAPAROSCOPIC SPINE FUSION IN AN EXPERIMENTAL-MODEL IN THE PIG
Autore:
HILDEBRANDT U; PISTORIUS G; OLINGER A; MENGER MD;
Indirizzi:
UNIV SAARLAND,INST CLIN & EXPTL SURG D-66421 HOMBURG GERMANY UNIV SAARLAND,DEPT GEN SURG D-66421 HOMBURG GERMANY
Titolo Testata:
Surgical endoscopy
fascicolo: 2, volume: 10, anno: 1996,
pagine: 143 - 146
SICI:
0930-2794(1996)10:2<143:FEWLSF>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHOLECYSTECTOMY;
Keywords:
ANTERIOR LUMBAR INTERBODY SPINE FUSION; LAPAROSCOPIC SURGERY; MINIMAL INVASIVE SURGERY; PIG MODEL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
U. Hildebrandt et al., "FIRST EXPERIENCE WITH LAPAROSCOPIC SPINE FUSION IN AN EXPERIMENTAL-MODEL IN THE PIG", Surgical endoscopy, 10(2), 1996, pp. 143-146

Abstract

Background: We elucidated whether anterior lumbar spine fusion with interbody implants (BAK) can be performed in an experimental model in the pig using a transperitoneal laporoscopic approach. Methods: In seven animals, a pneumoperitoneum with an intraabdominal pressure of 12 mmHg was induced, and five trocars were placed in the middle, as well asin the left and right lateral aspect of the abdomen. With the use of specially designed instruments, the bifurcations of the aorta and venacava were prepared. The sacral artery, overlying the anterior aspect of the L5/S1 disc space, was retracted, allowing the exposure of the disc space. A working trocar was then fixed to the spine bodies above (L6) and below (S1) the disc, and instrumentation was completed by destruction of the disc, insertion of distraction plug, and implantation of the BAK cage. X-ray control allowed exact positioning of the cage. Results: There were no major complications during the operative procedure, in particular no bleeding from major blood vessels and no injury to intraperitoneal organs. Cages were implanted in all animals in correct position, as indicated by postoperative X-ray control. Conclusions:We conclude from our experiments that in the pig model implants for anterior interbody lumbar spine fusion can be inserted successfully using the laparoscopic approach. We propose that the pig model representsan ideal tool for training before applying this operative procedure in men.

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Documento generato il 07/07/20 alle ore 05:28:15