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Abstract
Video-assisted thoracoscopic surgery, a type of minimally invasive surgery, may reduce postoperative pain, shorten the length of hospitalization, improve cosmetic appearances, and permit early resumption of activity.
Microsurgical approaches for the treatment of thoraco-lumbar spine fractures can be performed with minimally incisional surgery. Narrow portals are placed in the intercostal spaces to insert working tools and a rigid rod lens endoscope for visualization, magnification, and illumination. Video-assisted thoracoscopic techniques can be used for a variety of spinal surgeries: thoracic microdiskectomies, thoracic vertebrectomies, anterior releases of spinal deformity, interbody fusion, reconstruction of the spine, and placement of internal fixation devices (Dickman, et al., 1996).
These techniques have distinct advantages compared to to open thoracotomy. Small incisions are made in the intercostal spaces, without retracting any ribs. This approach can reduce postoperative pain, shorten the length of hospitalization, improve cosmetic appearances, and allow early resumption of activity. Minimally invasive surgery has revolutionized almost all areas of surgery. The use of endoscopes permits surgical maneuvers to be performed through small incisions that facilitate a patient’s recovery.