Mini-open thoracoscopically assisted thoracotomy versus video-assisted thoracoscopic surgery for anterior release in thoracic scoliosis and kyphosis: a comparison of operative and radiographic results

Anterior debridement and reconstruction via thoracoscopy-assisted mini-open approach for the treatment of thoracic spinal tuberculosis: minimum 5-year follow-up

“…Apart from the surgical skills required, the extra investment in thoracoscopic equipment and instruments may be problematic when cost-effectiveness is paramount. Therefore, the initial enthusiasm for endoscopic anterior spinal procedures has shifted towards the use of a less invasive but mini open approach or thoracoscopy-assisted mini-open technique with a small incision of 3-4 cm [15,16]. This approach provides direct visualization of the thoracic spine including vessels, nerves, and visceral structures.…”

“…However, this procedure has been associated with substantial morbidity and long recovery time [10,16]. Recently, video-assisted thoracoscopic surgery (VATS) has been developed for surgical treatment of thoracic tuberculosis to overcome the problems associated with a formal thoracotomy.…”

“…Recently, video-assisted thoracoscopic surgery (VATS) has been developed for surgical treatment of thoracic tuberculosis to overcome the problems associated with a formal thoracotomy. Compared to traditional thoracotomy techniques, video-assisted thoracoscopic surgery employs a smaller incision with potentially less soft tissue disruption and better subsequent shoulder function [16]. However, the learning curve associated with VATS is a major consideration for the initial adoption of such a technique.…”

Review Article: Approach-Related Complications of Open versus Thoracoscopic Anterior Exposures of the Thoracic Spine

“…Peroneal nerve palsy can occur if the nerve is compressed over the fibular head. 21 Regarding complications related to endoscope placement, injury to the lung parenchyma and other vessels may occur, 1,21,22 as the initial port is placed blindly. Lung adhesions may be the cause of lung injury during port placement and postoperative air leaks.…”

“…1 Surgeons accessing the anterior spine should have a good understanding of the complex anatomy and possible complications.…”