https://scholars.lib.ntu.edu.tw/handle/123456789/507476
標題: | Pioneering Experience of Uniportal Video-Assisted Thoracoscopic Surgery for Anterior Release of Severe Thoracic Scoliosis | 作者: | Hsu, Cheng-Min KUAN-WEN WU MONG-WEI LIN Kuo, Ken N. Chang, Jia-Feng TING-MING WANG |
公開日期: | 1-十二月-2020 | 出版社: | Nature Research | 卷: | 10 | 期: | 1 | 起(迄)頁: | 841 | 來源出版物: | Scientific Reports | 摘要: | The optimal way to treat severe thoracic scoliosis remains controversial. Compared with conventional procedures, the uniportal video-assisted thoracoscopic surgery (UniVATS) rises in popularity in thoracic surgery because of less pain and faster recovery. This retrospective study aimed to apply UniVATS to treat severe thoracic scoliosis. Between October 2013 and March 2018, eight scoliotic patients with extremely large Cobb angle and profoundly limited flexibility underwent UniVATS for anterior release, followed by posterior instrumentation and fusion. The mean age at the time of surgery was 14.8 ± 2.4 years and the mean follow-up was 2.2 ± 1.3 years. The average levels of anterior thoracic discectomy and posterior fusion were 3.6 ± 0.7 and 11.5 ± 1.2, respectively. The mean coronal and sagittal correction rates were 70 ± 19% and 71 ± 23%, respectively. UniVATS contributed to minor access trauma (3-cm incision) with minimal blood loss, shorter operation time (75 ± 13 mins), less requirement of stay in the intensive care unit (0.3 ± 0.5 day) or chest tube placement (0.3 ± 0.7 day), speedier and narcotic-free recovery, and earlier ambulation within one day. This is the first study to assess the safety and efficacy of UniVATS in the treatment of severely stiff thoracic scoliosis, providing comparable surgical outcomes, less pain, faster recovery and superior cosmetic results without significant complications. ? 2020, The Author(s). |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078113198&doi=10.1038%2fs41598-020-57984-x&partnerID=40&md5=7c81710684d579c02526c4805974c851 https://scholars.lib.ntu.edu.tw/handle/123456789/507476 |
ISSN: | 2045-2322 | DOI: | 10.1038/s41598-020-57984-x | SDG/關鍵字: | adolescent; child; convalescence; devices; female; human; length of stay; male; operation duration; operative blood loss; postoperative pain; procedures; retrospective study; scoliosis; severity of illness index; spine fusion; thoracic vertebra; treatment outcome; video assisted thoracoscopic surgery; Adolescent; Blood Loss, Surgical; Child; Female; Humans; Length of Stay; Male; Operative Time; Pain, Postoperative; Recovery of Function; Retrospective Studies; Scoliosis; Severity of Illness Index; Spinal Fusion; Thoracic Surgery, Video-Assisted; Thoracic Vertebrae; Treatment Outcome |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。