scholarly journals Minimally Invasive Treatment of Spinal Metastases: Techniques

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Peter S. Rose ◽  
Michelle J. Clarke ◽  
Mark B. Dekutoski
Keyword(s):  
Minimally Invasive ◽  
Metastatic Disease ◽  
Spinal Metastases ◽  
Minimally Invasive Techniques ◽  
Large Magnitude ◽  
Conventional Surgery ◽  
Invasive Treatment ◽  
Spinal Stabilization ◽  
Invasive Techniques

With improved treatments and increasingly life expectancy, the burden of metastatic disease in the spine is expected to rise. The role of conventional surgery for spinal metastases is well established but often involves procedures of large magnitude. We describe minimally invasive techniques for spinal stabilization and decompression in patients with symptomatic metastatic disease of the spine.

Minimally invasive treatment for intracerebral hemorrhage

2012 ◽  
Vol 32 (4) ◽  
pp. E3 ◽  
Author(s):  
Emun Abdu ◽  
Daniel F. Hanley ◽  
David W. Newell
Keyword(s):  
Minimally Invasive ◽  
Intracerebral Hemorrhage ◽  
Public Health Problem ◽  
Consensus Conference ◽  
National Institutes Of Health ◽  
Minimally Invasive Techniques ◽  
Invasive Treatment ◽  
Promising Area ◽  
Invasive Techniques

Spontaneous intracerebral hemorrhage is a serious public health problem and is fatal in 30%–50% of all occurrences. The role of open surgical management of supratentorial intracerebral hemorrhage is still unresolved. A recent consensus conference sponsored by the National Institutes of Health suggests that minimally invasive techniques to evacuate clots appear to be a promising area and warrant further investigation. In this paper the authors review past, current, and potential future methods of treating intraparenchymal hemorrhages with minimally invasive techniques and review new data regarding the role of stereotactically placed catheters and thrombolytics.

scholarly journals Minimally Invasive Local Treatments for Bone and Pulmonary Metastases

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Meena Bedi ◽  
David M. King ◽  
Sean Tutton
Keyword(s):  
Minimally Invasive ◽  
Bone Metastases ◽  
Metastatic Disease ◽  
Pulmonary Metastases ◽  
Alternative Therapies ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

Surgery and chemotherapy have historically been the mainstay of treatment in patients with metastatic disease. However there are many alternative therapies available to relieve the symptoms and morbidity of metastases. In this paper, we review the role and highlight the advantages of minimally invasive techniques employed in patients with pulmonary and bone metastases.

scholarly journals Spine Stereotactic Body Radiotherapy: Indications, Outcomes, and Points of Caution

2017 ◽  
Vol 7 (2) ◽  
pp. 179-197 ◽  
Author(s):  
Chia-Lin Tseng ◽  
Wietse Eppinga ◽  
Raphaele Charest-Morin ◽  
Hany Soliman ◽  
Sten Myrehaug ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Stereotactic Body Radiotherapy ◽  
Organs At Risk ◽  
Spinal Metastases ◽  
Response Assessment ◽  
Tumor Control ◽  
Spinal Instability ◽  
Minimally Invasive Techniques ◽  
Stereotactic Radiation ◽  
Invasive Techniques

Study Design: A broad narrative review. Objectives: The objective of this article is to provide a technical review of spine stereotactic body radiotherapy (SBRT) planning and delivery, indications for treatment, outcomes, complications, and the challenges of response assessment. The surgical approach to spinal metastases is discussed with an overview of emerging minimally invasive techniques. Methods: A comprehensive review of the literature was conducted on the techniques, outcomes, and developments in SBRT and surgery for spinal metastases. Results: The optimal management of patients with spinal metastases is complex and requires multidisciplinary assessment from an oncologic team that is familiar with the shifting paradigm as a consequence of evolving techniques in surgery and stereotactic radiation, as well as new developments in systemic agents. The Spinal Instability Neoplastic Score and the epidural spinal cord compression (Bilsky) grading system are useful tools that facilitate communication among oncologic team members and can direct management by providing a baseline assessment of risks prior to therapy. The combined multimodality approach with “separation surgery” followed by postoperative spine SBRT achieves thecal sac decompression, improves tumor control, and avoids complications that may be associated with more extensive surgery. Conclusion: Spine SBRT is a highly effective treatment that is capable of delivering ablative doses to the target while sparing the critical organs-at-risk, chiefly the critical neural tissues, within a short and manageable schedule. At the same time, surgery occupies an important role in select patients, particularly with the expanding availability and expertise in minimally invasive techniques. With rapid adoption of spine SBRT in centers outside of the academic setting, it is imperative for the practicing oncologist to understand the relevance and application of these evolving concepts.

Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management

Radiographics ◽  
2005 ◽  
Vol 25 (suppl_1) ◽  
pp. S173-S189 ◽  
Author(s):  
Nael E. A. Saad ◽  
Wael E. A. Saad ◽  
Mark G. Davies ◽  
David L. Waldman ◽  
Patrick J. Fultz ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

The Role of Minimally Invasive Techniques in the Treatment of Adult Spinal Deformity

2013 ◽  
Vol 24 (2) ◽  
pp. 231-248 ◽  
Author(s):  
Praveen V. Mummaneni ◽  
Tsung-Hsi Tu ◽  
John E. Ziewacz ◽  
Olaolu C. Akinbo ◽  
Vedat Deviren ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

scholarly journals Role of Laparoscopic Antireflux Surgery in the Management of Chronic GERD Symptoms

1999 ◽  
Vol 13 (9) ◽  
pp. 761-764 ◽  
Author(s):  
Mehran Anvari
Keyword(s):  
Minimally Invasive ◽  
Medical Therapy ◽  
Proton Pump ◽  
Antireflux Surgery ◽  
Laparoscopic Antireflux Surgery ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques ◽  
Gerd Symptoms

Since the application of minimally invasive techniques to antireflux surgery eight years ago, there has been a rapid increase in the use of laparoscopic antireflux surgery. It is increasingly used as an alternative to long term medical therapy with proton pump inhibitors. The factors responsible for the rapid popularity of this procedure are reviewed, and the choice of techniques, current indications and available literature on the outcomes of these procedures are discussed.

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