Affiliation:
1. Pavlov First Saint Petersburg State Medical University
Abstract
Hourglass schwannomas extending into the spinal canal, foramen intervertebrale and thoracic cavity are rare. Their surgical treatment presents a difficult task, and there is no consensus regarding the optimal approach to its solution. This article describes a surgical strategy consisting in performing a combined approach: removal of the intracanal component of the schwannoma through hemilaminectomy and, in the second stage, removal of the interpleural component by video-assisted thoracoscopy. This approach allows for safe resection at adequate angles of view with a low risk of spinal instability, pain or complications from the respiratory system in the postoperative period.
Publisher
PANORAMA Publishing House
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