caa a22 4500 475779584 CHVBK 20180406123640.0 cr unu---uuuuu 170329e20000701xx s 000 0 eng 10.1007/s004640020077 doi (NATIONALLICENCE)springer-10.1007/s004640020077 New instrumentation for video-assisted anterior spine release [Elektronische Daten] [T. Ohtsuka, I. Ohnishi, K. Nakamura, S. Takamoto] Endoscopic surgery in the area of orthopedics has been evolving, particularly in spine surgery. We describe the clinical outcome of thoracoscopic anterior spine release using new instruments. A harmonic scalpel (HS) with a 5-mm hook dissector was used to dissect the spine and rib and to coagulate and transect the vascular bundles. A rib dissector and resector were used for excision of the rib to be implanted in the disk spaces. We treated scoliosis in four patients (three male, one female) with a mean age of 19.5 ± 4.5 years and thoracolumbar kyphosis in a 16-year-old male patient. A mean number of 6.5 ± 2.5 vertebrae with scoliosis and four vertebrae with kyphosis were released. In all cases, division of the vascular bundle and exposure of the spine were completed using only the HS, and excision of a rib segment was performed via a port incision using only the rib dissector and resector. The mean duration of thoracoscopic anterior release was 92 ± 28 min. Blood loss was minimal during and after surgery. Thoracoscopic anterior spine release can be facilitated by the new instruments described above. Springer-Verlag New York Inc., 2000 Key words: Anterior spine release — Harmonic scalpel — Orthopedics — Rib resector and dissector — Spine — Thoracoscopic surgery nationallicence Ohtsuka T. Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut Ohnishi I. Department of Orthopedics, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut Nakamura K. Department of Orthopedics, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut Takamoto S. Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut Surgical Endoscopy Springer-Verlag 14/7(2000-07-01), 682-684 0930-2794 14:7<682 2000 14 464 https://doi.org/10.1007/s004640020077 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020077 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ohtsuka T. Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut NATIONALLICENCE 700 1- Ohnishi I. Department of Orthopedics, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut NATIONALLICENCE 700 1- Nakamura K. Department of Orthopedics, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut NATIONALLICENCE 700 1- Takamoto S. Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan, Japan aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/7(2000-07-01), 682-684 0930-2794 14:7<682 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer