Combined Approach to “Dumbbell” Intrathoracic and Intraspinal Neurogenic Tumors
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Cited by (93)
Combined retropleural thoracotomy and posterior spinal approach for thoracic dumbbell Schwannoma: Case series and review of the literature
2022, Journal of Clinical NeuroscienceCitation Excerpt :However, resection of intraspinal components without laminectomy is difficult and may result in complications [20]. Avoiding traction on the foraminal or intraspinal component is critical: excessive force may result in avulsion of the proximal nerve root, cerebrospinal fluid leak (CSF) leak, or spinal cord injury [16,17,21]. Retropleural thoracotomies allow for good visualization of the retropleural space and are thus of utility in cases where there is concern for adherence to bony or vascular structures in this space, as in two cases in this series [15,19,22,23,26].
Uniport video-assisted thoracoscopic surgery for thoracic Eden type IV dumbbell tumor
2022, JTCVS TechniquesCitation Excerpt :Pathology showed schwannoma with a well-demarcated capsule without rupture. A dumbbell tumor was reported to be treated with wide posterolateral thoracotomy and concomitant laminectomy in 1983.2 The complications included excessive operative time, blood loss, and tissue damage.
Benign Intradural and Paraspinal Nerve Sheath Tumors: Advanced Surgical Techniques
2020, Neurosurgery Clinics of North AmericaCitation Excerpt :Masses that are not able to be fully resected from a posterolateral approach, such as those with a large extraforaminal component or components anterior to the vertebral body, attachments to vascular structures, or an inability to make an accurate preoperative diagnosis, may require a combined approach with a second-stage thoracotomy.32 Others advocate for a single-stage combined neurosurgical and thoracic approach, either via a single incision33–35 or separate incisions.36,37 In one series, in most cases the laminectomy was performed after the thoracotomy.35
Surgical treatment of thoracic dumbbell tumors
2019, European Journal of Surgical OncologyPosterior surgery versus combined laminectomy and thoracoscopic surgery for treatment of dumbbell-type thoracic cord tumor: A long-term follow-up
2018, Clinical Neurology and Neurosurgery
Presented at the Nineteenth Annual Meeting of The Society of Thoracic Surgeons, San Francisco, CA, Jan 17–19, 1983.