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PubMed · 10437279

[Virtual endoscopy].

Abstract

After a brief definition of Virtual Endoscopy (VE), the authors, by a personal experience and literature analysis, present the results of this new method in several applications: tracheo-bronchial tree, vessels, colon, bladder, central nervous system; patients were referred by standard endoscopy, advantages and limits were studied. We underline the atraumatic feature of VE and superiority of fibroscopy. Terminology is assessed. To compare two methods, one recent, is not actually specially justified. "VE" development is an undeniably interesting challenge for standard endoscopy. Is is absolutely conceivable that in the next future, an important number of purely diagnostic exams will be carried on by virtual technics (J. F Rey).

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BibTeXRIS

J D Picard, D Buthiau. 1999. [Virtual endoscopy].. https://pubmed.ncbi.nlm.nih.gov/10437279/

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Retroperitoneal endoscopically assisted minilaparotomy for anterior lumbar interbody fusion: technical feasibility and complications.

STUDY DESIGN: Description of a novel less invasive technique and prospective evaluation of associated morbidity and potential complications. OBJECTIVE: To investigate the feasibility of a novel endoscope-assisted retroperitoneal approach (REAM) for anterior lumbar interbody fusion (ALIF). SUMMARY OF BACKGROUND DATA: Minimally and less invasive approaches are currently favored to perform ALIF. However, the present endoscopic techniques have not found widespread acceptance, because they are technically demanding, and microsurgical techniques are not time effective when two separate approaches are needed for L5-S1 (transperitoneal) and L4-L5 (retroperitoneal). METHODS: The authors have developed the technique of REAM, which consists of three stages: 1) endoscopic retroperitoneal mobilization of the peritoneal sac, 2) midline minilaparotomy (4-6 cm), and 3) standard open anterior lumbar interbody fusion. Twenty patients were prospectively enrolled in this study and perioperative data (i.e., blood loss, operative time, intra- and postoperative complications) were collected to assess the feasibility of this approach. RESULTS: Six single-level and 14 two-level ALIFs from L3-L4 to L5-S1 were performed with a mean operative time of 108 minutes (range, 85-150) and an average estimated blood loss of 200 mL (range, 50-500). The follow-up (range, 12-29 months) on 20 patients showed that there were no perioperative or postoperative complications related directly to this approach. CONCLUSION: Anterior lumbar interbody fusion by REAM can be performed without additional hazard to the patient and appears to be a reasonable alternative to existing less invasive procedures.

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