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Laparoscopic Approach to the L3-L4 and L4-L5 Intervertebral Discs

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Surgical Approaches to the Spine

Abstract

Step 1: Positioning The patient must be posi tioned to accommodate the laparoscopic surgeon (L5) at the patient‘s head and to the patient‘s right, the camera assistant (CA) to the patient‘s left, the spine surgeon (55) at the patient‘s feet and to the right, and the anesthesiologist (A). The operating theater must allow for appropriate placement of television monitors, fluoroscopy monitors, and a c-arm. 1,2 The patient must be adequately secured to the tablc so that the steep Trendelenburg position may be used to assist with the exposure. The patient‘s arms should be folded over the chest to allow fluoroscopic visualization of the spine (Fig. 39A).

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References

  1. Katkhouda N: Advanced Laparoscopic Surgery: Techniques and Tips. Philadelphia: Saunders, 1998, pp 157–163.

    Google Scholar 

  2. Cloyd DW, Obenchain TG, Savin YI: Transperitoneallaparoscopic approach to lumbar diseeetomy. Surg Laparosc Endose 5 (2):85–89, 1995.

    Article  CAS  Google Scholar 

  3. Regan JJ, McAfee PC, Guyer RD, Aronoff RG: Laparoscopic filsion of the lumbar spine in a multicenter series of the first 34 consecutive patients. Surg Laparose Endosc 6 (6):459–468, 1996.

    Article  CAS  Google Scholar 

  4. Obenchain TG: Laparoseopic lumbar discectomy: case report. J Laparoendosc Surg 1 (3)145–149,1991.

    Article  PubMed  CAS  Google Scholar 

  5. Mahvi DM, Zdeblick TA: A prospective study of laparoscopie spinal fusion. Technique and operative complications. Ann Surg 224 (1):85–90, 1996.

    CAS  Google Scholar 

  6. Olsen D, McCord D, Law M: Laparoscopic disceclomy with anterior interbody fusion of L5-Sl. Surg Endose 10 (12):1158–1163, 1996.

    Article  CAS  Google Scholar 

  7. Maun RA: Laparoscopic L5-S1 diskectomy: a cost-effective, minimally invasive general surgery-neurosurgery team alternative to laminectomy. Am Surg 62 (6):516–517, 1996.

    Google Scholar 

  8. Obenchain TG, Cloyd D: Laparoscopic lumbar discectomy: description of transperitoneal and retroperitoneal techniques. Xeurosurg Clin N Am 7 (1):77–85, 1996.

    CAS  Google Scholar 

  9. Slotman GJ, Stein SC: Laparoscopic L5-S1 diskectomy: a cost-effective, minimally invasive general surgery-neurosurgery team altemative to laminectomy. Am Surg 62 (1):64–68, 1996.

    PubMed  CAS  Google Scholar 

  10. Slotman GJ, Stein SC: Laparoscopic lumbar diskectomy: preliminary report of a minimally invasive anterior approach to the hemiated L5-S1 disk. Surg Laparosc Endosc 5 (5):363–369, 1995.

    Article  PubMed  CAS  Google Scholar 

  11. Mathews HH, Evans MT, Molligan HJ, Long BH: Laparoscopic discectomy with anterior lumbar interbody fusion. A preliminary review. Spine 20 (16):1797–1802,1995.

    CAS  Google Scholar 

  12. McAfee PC, Regan JR, Zdehlick T, Zuckerman J, Picetti CD, Heim S, Geis WP, Fedder IL: The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. A prospective multicenter study comprising the first 100 consecutive cases. Spine 20 (14):1624–1632, 1995.

    CAS  Google Scholar 

  13. Zelko JR, Misko J, Swanstrom L, Pennings J, Kenyon T: Laparoscopic lumbar diskectomy. Am J Surg 169 (5):496–498, 1995

    Article  PubMed  CAS  Google Scholar 

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Katkhouda, N., Ghosh, S., Samudrala, S. (2003). Laparoscopic Approach to the L3-L4 and L4-L5 Intervertebral Discs. In: Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-0009-0_42

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  • DOI: https://doi.org/10.1007/978-1-4613-0009-0_42

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6508-5

  • Online ISBN: 978-1-4613-0009-0

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