Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis

Yunpeng Cui, Xuedong Shi, Chuan Mi, Bing Wang, Yuanxing Pan, Yunfei Lin Department of Orthopaedics, Peking University First Hospital, Beijing, People’s Republic of ChinaCorrespondence: Xuedong ShiDepartment of Orthopedic, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beij...

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Autores principales:	Cui Y, Shi X, Mi C, Wang B, Pan Y, Lin Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	spinal metastasis minimally-invasive tubular surgery minimally invasive spine surgery conventional surgery tubular retractor hypo-vascular tumor Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/24ed1ef57a074e8cafa548e31febd33d
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spelling	oai:doaj.org-article:24ed1ef57a074e8cafa548e31febd33d2021-11-09T18:40:35ZComparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis1179-1322https://doaj.org/article/24ed1ef57a074e8cafa548e31febd33d2021-11-01T00:00:00Zhttps://www.dovepress.com/comparison-of-minimally-invasive-tubular-surgery-with-conventional-sur-peer-reviewed-fulltext-article-CMARhttps://doaj.org/toc/1179-1322Yunpeng Cui, Xuedong Shi, Chuan Mi, Bing Wang, Yuanxing Pan, Yunfei Lin Department of Orthopaedics, Peking University First Hospital, Beijing, People’s Republic of ChinaCorrespondence: Xuedong ShiDepartment of Orthopedic, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100032, People’s Republic of ChinaTel +86 10-83575660Email pku_ortho@163.comBackground: This study aimed to evaluate the perioperative safety and efficacy of minimally invasive tubular surgery for patients with spinal metastasis.Methods: A total of 161 consecutive patients with spinal metastasis between June 2017 and June 2020 were retrospectively reviewed. A total of 36 patients were included in this study, 14 patients underwent minimally invasive tubular surgery (M), and 22 patients underwent conventional surgery (C). T-test and chi-square tests were used to evaluate demographic and perioperative data differences between the two groups.Results: Baseline characteristics did not differ significantly between M and C groups except for the SINS (p=0.002) and preoperative Alb (p=0.026). There was no significant difference in operative time and complications between M and C groups (p< 0.05). The M group had less mean blood loss than the C group (1275 vs 718mL, p=0.045). Blood transfusion was comparable between the two groups (p< 0.05). The mean amount and drainage time were lower than the C group (141 vs 873mL, p< 0.001; 3.1 vs 7.0 days, P< 0.001). The mean postoperative hospitalization of the M group was 8.8 days, which was lower than the C group (11.3 days, p=0.045). Sub-analysis showed that for patients with hyper-vascular tumor, the M group had less mean amount and time of drainage compared with the C group (p< 0.05); for patients with hypo-vascular tumor, the mean blood loss and amount of blood transfusion were also reduced in M group (p< 0.05). The mean blood loss and drainage time of patients with hypo-vascular tumors were less than patients with hyper-vascular tumors in the M group (p< 0.05).Conclusion: In selected cases, minimally invasive tubular surgery is safe and effective for patients with spinal metastasis. Patients with hypo-vascular tumors were more suitable for this technique with less blood loss, fewer blood transfusions, minor drainage, and shorter postoperative hospitalization.Keywords: spinal metastasis, minimally invasive tubular surgery, minimally invasive spine surgery, conventional surgery, tubular retractor, hypo-vascular tumorCui YShi XMi CWang BPan YLin YDove Medical Pressarticlespinal metastasisminimally-invasive tubular surgeryminimally invasive spine surgeryconventional surgerytubular retractorhypo-vascular tumorNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancer Management and Research, Vol Volume 13, Pp 8399-8409 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	spinal metastasis minimally-invasive tubular surgery minimally invasive spine surgery conventional surgery tubular retractor hypo-vascular tumor Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	spinal metastasis minimally-invasive tubular surgery minimally invasive spine surgery conventional surgery tubular retractor hypo-vascular tumor Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Cui Y Shi X Mi C Wang B Pan Y Lin Y Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis
description	Yunpeng Cui, Xuedong Shi, Chuan Mi, Bing Wang, Yuanxing Pan, Yunfei Lin Department of Orthopaedics, Peking University First Hospital, Beijing, People’s Republic of ChinaCorrespondence: Xuedong ShiDepartment of Orthopedic, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100032, People’s Republic of ChinaTel +86 10-83575660Email pku_ortho@163.comBackground: This study aimed to evaluate the perioperative safety and efficacy of minimally invasive tubular surgery for patients with spinal metastasis.Methods: A total of 161 consecutive patients with spinal metastasis between June 2017 and June 2020 were retrospectively reviewed. A total of 36 patients were included in this study, 14 patients underwent minimally invasive tubular surgery (M), and 22 patients underwent conventional surgery (C). T-test and chi-square tests were used to evaluate demographic and perioperative data differences between the two groups.Results: Baseline characteristics did not differ significantly between M and C groups except for the SINS (p=0.002) and preoperative Alb (p=0.026). There was no significant difference in operative time and complications between M and C groups (p< 0.05). The M group had less mean blood loss than the C group (1275 vs 718mL, p=0.045). Blood transfusion was comparable between the two groups (p< 0.05). The mean amount and drainage time were lower than the C group (141 vs 873mL, p< 0.001; 3.1 vs 7.0 days, P< 0.001). The mean postoperative hospitalization of the M group was 8.8 days, which was lower than the C group (11.3 days, p=0.045). Sub-analysis showed that for patients with hyper-vascular tumor, the M group had less mean amount and time of drainage compared with the C group (p< 0.05); for patients with hypo-vascular tumor, the mean blood loss and amount of blood transfusion were also reduced in M group (p< 0.05). The mean blood loss and drainage time of patients with hypo-vascular tumors were less than patients with hyper-vascular tumors in the M group (p< 0.05).Conclusion: In selected cases, minimally invasive tubular surgery is safe and effective for patients with spinal metastasis. Patients with hypo-vascular tumors were more suitable for this technique with less blood loss, fewer blood transfusions, minor drainage, and shorter postoperative hospitalization.Keywords: spinal metastasis, minimally invasive tubular surgery, minimally invasive spine surgery, conventional surgery, tubular retractor, hypo-vascular tumor
format	article
author	Cui Y Shi X Mi C Wang B Pan Y Lin Y
author_facet	Cui Y Shi X Mi C Wang B Pan Y Lin Y
author_sort	Cui Y
title	Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis
title_short	Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis
title_full	Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis
title_fullStr	Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis
title_full_unstemmed	Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis
title_sort	comparison of minimally invasive tubular surgery with conventional surgery in the treatment of thoracolumbar metastasis
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/24ed1ef57a074e8cafa548e31febd33d
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Comparison of Minimally Invasive Tubular Surgery with Conventional Surgery in the Treatment of Thoracolumbar Metastasis

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