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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

The patient must be positioned to accommodate the laparoscopic surgeon (LS) at the patient’s head and to the patient’s right, the camera assistant (CA) to the patient’s left, the spine surgeon (SS) 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 table 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. 30.1).

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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 M: Transperitoneal laparoscopic approach to lumbar discectomy. Surg Laparosc Endosc 5(2):85–89, 1995.

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Google Scholar 

  6. Olsen D, McCord D, Law M: Laparoscopic discectomy with anterior interbody fusion of L5–S1. Surg Endosc 10(12):1158–1163, 1996.

    Article  CAS  PubMed  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.

    CAS  PubMed  Google Scholar 

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

    Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  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.

    Google Scholar 

  12. McAfee PC, Regan JR, Zdeblick T, Zuckerman J, Picetti GD, 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.

    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  CAS  PubMed  Google Scholar 

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Katkhouda, N., Ghosh, S., Samudrala, S. (2015). Laparoscopic Approach to the L3–L4 and L4–L5 Intervertebral Discs. In: Watkins, III, R., Watkins, IV, R. (eds) Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2465-3_30

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  • DOI: https://doi.org/10.1007/978-1-4939-2465-3_30

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2464-6

  • Online ISBN: 978-1-4939-2465-3

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